NELIUS NYAMBURA MACHARIA MD
NPI 1962815308
Family Medicine in Concord, NC

Q: What is Nelius Macharia's NPI number?

The NPI number for Nelius Macharia is 1962815308. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Q: What is Nelius Macharia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nelius Macharia was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 03, 2014PECOS EnrolledAccepts Medicare Assignment

920 CHURCH ST N, SUITE 255, CONCORD, NC 28025(704) 403-1331 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nelius Nyambura Macharia Md NPPES

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

NELIUS NYAMBURA MACHARIA MD (NPI 1962815308) is an individual family medicine provider in Concord, North Carolina, licensed in North Carolina (2017-02218) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962815308

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNELIUS NYAMBURA MACHARIACredential: MD

Location Address920 CHURCH ST N, SUITE 255Concord, NC 28025-2927

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 403-1331

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 3, 2014

Last NPPES UpdateJuly 15, 2024

NPPES CertifiedJanuary 19, 2024

✔ NPI 1962815308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 2017-02218

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 2017-02218 (NC)

920 CHURCH ST N, Concord, NC 28025

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Nelius Nyambura Macharia 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 ID7517247828

PECOS Enrollment IDI20171106000042

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 2

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 moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

156 services149 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

36 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340119

Location301 Yadkin StAlbemarle, NC 28001 · Stanly County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

34%125 patients2/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

32%241 patients2/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

16%127 patients1/55-star benchmark: 100%

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.

LEONARD ALEXANDER STALLINGS MD

Emergency Medicine

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1311

PATRICK TWUM-BARIMAH MD

Internal Medicine

920 CHURCH ST N, SUITE 255
CONCORD, NC 28025

Cabarrus County (704) 403-1331

SHIVANGI MANU PATEL PA

Physician Assistant

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-3664

TONY RAY HINSON MD

Internal Medicine

920 CHURCH ST N, SUITE 255
CONCORD, NC 28025

Cabarrus County (704) 403-1331

AISHWARYA PALWAI MD

Internal Medicine (Critical Care Medicine)

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1311

MARLEE BODLE CRNA

Nurse Anesthetist, Certified Registered

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 403-1412

NATALIA KOHL BECKER PA

Physician Assistant

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (952) 237-6564

CABARRUS MEMORIAL HOSPITAL

Home Health

920 CHURCH ST N
CONCORD, NC 28025

Cabarrus County (704) 783-3000

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 Nelius Macharia's NPI number?

The NPI number for Nelius Macharia is 1962815308. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Nelius Macharia located?

Nelius Macharia practices at 920 Church St N Suite 255, Concord, NC 28025. The listed phone number is (704) 403-1331.

What is Nelius Macharia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nelius Macharia enrolled in Medicare?

Yes. Nelius Macharia 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 Nelius Macharia accept?

Health plans from UnitedHealthcare list Nelius Macharia 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 Nelius Macharia affiliated with any hospitals?

According to CMS data, Nelius Macharia is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nelius Macharia was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.