MARY SPLAIN NP
NPI 1962786293
Nurse Practitioner - Adult Health in Lincolnton, NC

Active since October 05, 2011PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
433 MCALISTER RD, FL 1, LINCOLNTON, NC 28092(704) 512-5363 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2021, Sep 15, 2021, Sep 9, 2021 and 34 more (37 updates tracked since 2015).

About Mary Splain Np NPPES

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

MARY SPLAIN NP (NPI 1962786293) is an individual adult health provider in Lincolnton, North Carolina, licensed in North Carolina (5005336) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1962786293
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY SPLAINCredential: NP
Location Address433 MCALISTER RD, FL 1Lincolnton, NC 28092-4147
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 5, 2011
Last NPPES UpdateSeptember 20, 202137 updates tracked since enumeration
NPI 1962786293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NC · 5005336
433 MCALISTER RD, Lincolnton, NC 28092

Secondary Practice Locations 4

Location 18800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 512-5363
Location 21000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 512-5363
Location 32001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 512-5363
Location 410628 Park RdCharlotte, NC 28210-8407 · Phone (704) 512-5363

Accepted 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

Mary Splain Np 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 ID1153595350
PECOS Enrollment IDI20111128000750
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 3

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
94 services89 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
66 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28092 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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%26 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
78%112 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
62%115 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
1%84 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
62%39 patients3/55-star benchmark: 98%
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.

Emergency Medicine
433 MCALISTER RD
LINCOLNTON, NC 28092
Emergency Medicine
433 MCALISTER RD
LINCOLNTON, NC 28092
Internal Medicine
433 MCALISTER RD
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
433 MCALISTER RD
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
433 MCALISTER RD
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
433 MCALISTER RD, CMC LINCOLN
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
433 MCALISTER RD
LINCOLNTON, NC 28092
Pathology (Anatomic Pathology & Clinical Pathology)
433 MCALISTER RD
LINCOLNTON, NC 28092

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 Mary Splain's NPI number?

The NPI number for Mary Splain is 1962786293. It was assigned to this individual provider in the NPPES registry on October 5, 2011.

Where is Mary Splain located?

Mary Splain practices at 433 Mcalister Rd Fl 1, Lincolnton, NC 28092. The listed phone number is (704) 512-5363.

What is Mary Splain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Splain enrolled in Medicare?

Yes. Mary Splain 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 Mary Splain accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Mary Splain 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 Mary Splain affiliated with any hospitals?

According to CMS data, Mary Splain is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Mary Splain was last updated on September 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.