1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Psychiatry Neurology
  6. NPI Profile

ANDREA WELBORN MD
NPI 1932559150
Psychiatry & Neurology - Neurology in Winston Salem, NC

Active since June 18, 2016PECOS EnrolledAccepts Medicare Assignment
98.3/100
CMS Quality Rating
145 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 768-6347(336) 760-9393 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2021, Jun 18, 2016 (2 updates tracked since 2016).

About Andrea Welborn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA WELBORN MD (NPI 1932559150) is an individual neurology provider in Winston Salem, North Carolina, licensed in North Carolina (2021-02680) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (2016).

NPPES Registry Identity

NPI1932559150
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameANDREA WELBORNCredential: MD
Location Address145 KIMEL PARK DR STE 100Winston Salem, NC 27103-6983
Mailing Address9500 Euclid AveCleveland, OH 44195-3236 · (216) 444-2200
Phone(336) 768-6347
Fax(336) 760-9393
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2016
Enumeration DateJune 18, 2016
Last NPPES UpdateSeptember 17, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1932559150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NC · 2021-02680
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
145 KIMEL PARK DR STE 100, Winston Salem, NC 27103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Welborn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486067105
PECOS Enrollment IDI20210928002065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANETTE RENEA TORAIN FNP
Nurse Practitioner (Family)
145 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6347
ZACHARY TRAVIS WARD MD
Psychiatry & Neurology (Neurology)
145 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6347
MR. MARK ANTHONY PANE P.A.
Physician Assistant
145 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 768-6347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Welborn's NPI number?

The NPI number for Andrea Welborn is 1932559150. It was assigned to this individual provider in the NPPES registry on June 18, 2016.

Where is Andrea Welborn located?

Andrea Welborn practices at 145 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 768-6347.

What is Andrea Welborn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Andrea Welborn enrolled in Medicare?

Yes. Andrea Welborn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Welborn accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Andrea Welborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Welborn affiliated with any hospitals?

According to CMS data, Andrea Welborn is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Welborn was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.