About Dr. Estrelita Nancy Clavio-ziechmann Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ESTRELITA NANCY CLAVIO-ZIECHMANN MD (NPI 1962470666) is an individual pulmonary disease provider in Charlotte, North Carolina, licensed in North Carolina (9400223) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Location 110036 Park Cedar Dr, Suite ACharlotte, NC 28210-8914 · Phone (704) 543-0911
Other Identifiers 1
Medicaid8922871NC
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Estrelita Nancy Clavio-ziechmann 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.
Areas of Expertise CMS Part B claims4
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 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.
379 services194 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
133 services133 patients
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.
32 services30 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
13 services12 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28210 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.
26.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality
0
Improvement Activities
0
Cost
89.5
Referred Medical Equipment & Supplies CMS DME claims37
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers44 claims44 services$29.98 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
8 suppliers122 claims247 services$1.18 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier21 claims42 services$0.99 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers24 claims24 services$10.53 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
6 suppliers20 claims31 services$0.60 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
3 suppliers19 claims19 services$1.19 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers59 claims59 services$69.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers58 claims145 services$25.47 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers71 claims404 services$15.08 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers26 claims142 services$14.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers99 claims99 services$43.74 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
20 suppliers99 claims99 services$14.95 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
11 suppliers105 claims105 services$8.79 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
17 suppliers134 claims762 services$1.59 avg. paid by Medicare
Filter, non disposable, used with positive airway pressure device A7039
DME-Other DME · category DE001N
6 suppliers20 claims20 services$4.70 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
15 suppliers69 claims69 services$12.52 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
12 suppliers180 claims183 services$14.99 avg. paid by Medicare
13 suppliers153 claims157 services$30.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
25 suppliers461 claims465 services$62.79 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
9 suppliers105 claims105 services$31.37 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
7 suppliers69 claims4,080 services$4.76 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
10 suppliers185 claims10,920 services$6.40 avg. paid by Medicare
Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram J7608
DME-Drugs Administered Through DME · category DG000N
3 suppliers11 claims277 services$4.26 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers35 claims8,022 services$0.03 avg. paid by Medicare
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
9 suppliers28 claims5,903 services$0.04 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
27 suppliers218 claims18,990 services$0.09 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
22 suppliers336 claims20,622 services$0.78 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
5 suppliers30 claims1,340 services$0.15 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
3 suppliers35 claims183,750 services$0.15 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
3 suppliers28 claims28 services$31.61 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
40 suppliers556 claims556 services$25.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.
Other Providers at the Same Location NPPES3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Estrelita Clavio-ziechmann's NPI number?
The NPI number for Estrelita Clavio-ziechmann is 1962470666. It was assigned to this individual provider in the NPPES registry on March 9, 2006.
Where is Estrelita Clavio-ziechmann located?
Estrelita Clavio-ziechmann practices at 10320 Feld Farm Ln Ste 300, Charlotte, NC 28210. The listed phone number is (980) 488-9870.
What is Estrelita Clavio-ziechmann's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Estrelita Clavio-ziechmann enrolled in Medicare?
Yes. Estrelita Clavio-ziechmann is registered in the Medicare PECOS enrollment system.
What insurance does Estrelita Clavio-ziechmann accept?
Health plans from Blue Cross and Blue Shield of NC list Estrelita Clavio-ziechmann 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.
When was this NPI record last updated?
The NPPES record for Estrelita Clavio-ziechmann was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
