JERALD ALBERT DELAGARZA MD
NPI 1962411892
Pediatrics in Rutherfordton, NC

Q: What is Jerald Delagarza's NPI number?

The NPI number for Jerald Delagarza is 1962411892. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Jerald Delagarza's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jerald Delagarza was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since August 07, 2006PECOS Enrolled

288 S RIDGECREST AVE, SUITE 100, RUTHERFORDTON, NC 28139(828) 287-9325(828) 287-9709 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2025, Jan 4, 2022, Jun 18, 2020 (3 updates tracked since 2020).

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About Jerald Albert Delagarza Md NPPES

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

JERALD ALBERT DELAGARZA MD (NPI 1962411892) is an individual pediatrics provider in Rutherfordton, North Carolina, licensed in North Carolina (200200513) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1962411892

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJERALD ALBERT DELAGARZACredential: MD

Location Address288 S RIDGECREST AVE, SUITE 100Rutherfordton, NC 28139-2838

Mailing Address288 S Ridgecrest Ave, Suite 100Rutherfordton, NC 28139-2838 · (828) 287-9325 · Fax (828) 287-9709

Phone(828) 287-9325

Fax(828) 287-9709

Sole ProprietorNo

Enumeration DateAugust 7, 2006

Last NPPES UpdateMay 28, 20253 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1962411892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 200200513

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

288 S RIDGECREST AVE, Rutherfordton, NC 28139

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Secondary Practice Location 1

Location 1387 US 70 WMarion, NC 28752-6202 · Phone (828) 652-6386 · Fax (828) 652-5730

Other Identifiers 2

Medicaid891323HNC

Other1323HNC · Bcbs

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerald Albert Delagarza Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Jerald Delagarza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mh Mission Hospital Mcdowell, Lllp

4.6 mi

Rural Health

184 ALLENDALE DR
Forest City, NC 28043

Reassigned Medicare billing, North Carolina enrollment
57 clinicians in this Medicare group

NPI 1962978122 (828) 659-5000

Mission Community Anesthesiology Specialists LLC

31 mi

Gastroenterology

2695 HENDERSONVILLE RD STE 206
Arden, NC 28704

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
824 clinicians in this Medicare group

NPI 1841760238 (828) 213-1740

Mh Blue Ridge Medical Center, Lllp

38 mi

Rural

125 HOSPITAL DR
Spruce Pine, NC 28777

Reassigned Medicare billing, North Carolina enrollment
36 clinicians in this Medicare group

NPI 1578048294 (828) 765-4201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28139 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%2,000 patients5/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

47%504 patients3/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%65 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

81%2,142 patients4/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%2,142 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

7%2,142 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

14%2,142 patients

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 51% · 1,345 patients

Patients physicalActivity: 51% · 1,345 patients

74%1,345 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

JOHN T TOLHURST MD

Emergency Medicine