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ALAN D ANCILLOTTI NP
NPI 1972845204
Nurse Practitioner - Family in Rutherfordton, NC

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
128 DOCTOR HENRY NORRIS DR, RUTHERFORDTON, NC 28139(828) 286-5575(828) 286-5574 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alan D Ancillotti Np NPPES

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

ALAN D ANCILLOTTI NP (NPI 1972845204) is an individual family provider in Rutherfordton, North Carolina, licensed in North Carolina (5006142) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Pender Memorial Hospital, and maintains a secondary practice location in Forest City.

NPPES Registry Identity

NPI1972845204
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameALAN D ANCILLOTTICredential: NP
Location Address128 DOCTOR HENRY NORRIS DRRutherfordton, NC 28139-3165
Mailing Address128 Doctor Henry Norris DrRutherfordton, NC 28139-3165 · (828) 286-5575 · Fax (828) 286-5574
Phone(828) 286-5575
Fax(828) 286-5574
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 25, 2013
Last NPPES UpdateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
✔ NPI 1972845204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5006142
128 DOCTOR HENRY NORRIS DR, Rutherfordton, NC 28139
Open in Google Maps ↗

Secondary Practice Location 1

Location 1197 Plaza DrForest City, NC 28043-3712 · Phone (828) 286-9438 · Fax (828) 286-9935

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, 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

Alan D Ancillotti 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 ID3476505371
PECOS Enrollment IDI20130828001033
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.

Hospital Affiliations CMS Care Compare

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

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC
OwnershipGovernment - Local
CMS Certification Number341307
Location507 E Fremont StBurgaw, NC 28425 · Pender County
Emergency services

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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
15%197 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
21%596 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
17%187 patients1/55-star benchmark: 100%
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.
97%8,719 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
1%359 patients1/55-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…
55%485 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.
89%245 patients2/55-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.
84%1,497 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
25%359 patients2/55-star benchmark: 90%
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…
25%1,339 patients2/55-star benchmark: 97%
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%1,139 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 71% · 568 patients
Patients tobacco: 16% · 50 patients
55%568 patients3/55-star benchmark: 98%
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…
99%1,497 patients4/55-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…
11%1,497 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.
17%1,497 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

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

RUTHERFORD HOSPITAL, INC.
Surgery (Plastic and Reconstructive Surgery)
128 DOCTOR HENRY NORRIS DR
RUTHERFORDTON, NC 28139
Rutherford County (828) 287-7502

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 Alan Ancillotti's NPI number?

The NPI number for Alan Ancillotti is 1972845204. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Alan Ancillotti located?

Alan Ancillotti practices at 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139. The listed phone number is (828) 286-5575.

What is Alan Ancillotti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alan Ancillotti enrolled in Medicare?

Yes. Alan Ancillotti 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 Alan Ancillotti accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Alan Ancillotti 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 Alan Ancillotti affiliated with any hospitals?

According to CMS data, Alan Ancillotti is affiliated with Pender Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alan Ancillotti was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.