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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TODD HENRY STERLING M.D.
NPI 1982699849
Urology in Raleigh, NC

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL STE 203, RALEIGH, NC 27607(919) 784-2930(919) 784-2929 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2026, Jun 23, 2025, Sep 11, 2024 and 3 more (6 updates tracked since 2019).

About Dr. Todd Henry Sterling M.d. NPPES

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

DR. TODD HENRY STERLING M.D. (NPI 1982699849) is an individual urology provider in Raleigh, North Carolina, licensed in Illinois (036168886) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1982699849
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. TODD HENRY STERLINGCredential: M.D.
Location Address4420 LAKE BOONE TRL STE 203Raleigh, NC 27607-7505
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490 · (984) 215-4111
Phone(919) 784-2930
Fax(919) 784-2929
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2004
Enumeration DateSeptember 16, 2005
Last NPPES UpdateSeptember 15, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1982699849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in IL · 036168886✔ Licensed in VA · 0101238539✔ Licensed in NC · 2015-00416✔ Licensed in DE · C1-0026775
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101238539 (VA)
4420 LAKE BOONE TRL STE 203, Raleigh, NC 27607
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1500 J Clyde Morris BlvdNewport News, VA 23601-1929 · Phone (757) 873-1374
Location 21802 Braeburn DrSalem, VA 24153-7357 · Phone (540) 772-3702 · Fax (540) 772-3703
Location 32301 Robeson St Ste 203Fayetteville, NC 28305-5641 · Phone (910) 615-3220 · Fax (910) 615-3220

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter Health 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 and accepts Medicare assignment

Dr. Todd Henry Sterling M.d. 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 ID7012137060
PECOS Enrollment IDI20170323002159, I20190107003233, I20230321000508, I20230911003387
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

14

Medicare enrollment records show Todd Sterling reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Carolina Mg, LLC
Same address
Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
NPI 1215741640 (919) 784-3100
Cape Fear Valley Health Medical Group LLC
20 mi
Family Medicine
1535 N RALEIGH ST
Angier, NC 27501
  • Reassigned Medicare billing, North Carolina enrollment
  • 411 clinicians in this Medicare group
NPI 1548054950 (919) 331-2477
Cumberland County Hospital System Inc
35 mi
Hospitalist
800 TILGHMAN DR
Dunn, NC 28334
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1124426804 (910) 892-7161
Vidant Medical Group LLC
73 mi
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1376049619 (252) 559-2200
Lewis Gale Physicians LLC
124 mi
Internal Medicine
1802 BRAEBURN DR
Salem, VA 24153
  • Reassigned Medicare billing, Virginia enrollment
  • 188 clinicians in this Medicare group
NPI 1902977705 (540) 772-3671
Riverside Physician Services Inc
141 mi
Multi-Specialty
1200 BENNS CHURCH BLVD
Smithfield, VA 23430
  • Reassigned Medicare billing, Virginia enrollment
  • 1,097 clinicians in this Medicare group
NPI 1699796359 (757) 674-9050
Winchester Medical Center
232 mi
Family Medicine
230 COSTELLO DR STE B
Winchester, VA 22602
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
NPI 1356153415 (540) 536-5400
Tidalhealth Specialty Care, LLC
245 mi
Medical Specialty
100 E CARROLL ST
Salisbury, MD 21801
  • Reassigned Medicare billing, Maryland enrollment
  • 531 clinicians in this Medicare group
NPI 1619504735 (410) 546-6400
Bayhealth Medical Center, Inc
279 mi
Neurology
101 WELLNESS WAY STE 250
Milford, DE 19963
  • Reassigned Medicare billing, Delaware enrollment
  • 272 clinicians in this Medicare group
NPI 1609693498 (302) 744-6592
Pinnacle Health Medical Services
285 mi
Family Medicine
300 W KING ST
Littlestown, PA 17340
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1669950440 (717) 359-9214

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

Areas of Expertise CMS Part B claims 6

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.

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.
31 services24 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
18 services17 patients
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.
17 services17 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
16 services16 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
15 services15 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

LAWRENCE ANDREW BLELLOCH PA
Physician Assistant
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
DAVID MCKENZIE KRAEBBER MD
Urology
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
DR. PHILLIP GLENN MARKS M.D.
Urology
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
JESSICA D LINDSAY MSN, APRN, FNP-BC
Nurse Practitioner (Family)
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
MEGAN TETER PA-C
Physician Assistant
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930
TIMOTHY GERALD MARINE PA-C
Physician Assistant
4420 LAKE BOONE TRL STE 203
RALEIGH, NC 27607
Wake County (919) 784-2930

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 Todd Sterling's NPI number?

The NPI number for Todd Sterling is 1982699849. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Todd Sterling located?

Todd Sterling practices at 4420 Lake Boone Trl Ste 203, Raleigh, NC 27607. The listed phone number is (919) 784-2930.

What is Todd Sterling's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Todd Sterling enrolled in Medicare?

Yes. Todd Sterling 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.

Which organizations bill Medicare for Todd Sterling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Sterling reassigns Medicare benefits to 14 organizations: North Carolina Mg, LLC (Raleigh, NC), Cape Fear Valley Health Medical Group LLC (Angier, NC), Cumberland County Hospital System Inc (Dunn, NC), Vidant Medical Group LLC (Kinston, NC), Lewis Gale Physicians LLC (Salem, VA) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Todd Sterling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Sterling accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan and Ambetter of North Carolina and 3 other insurers list Todd Sterling 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 Todd Sterling affiliated with any hospitals?

According to CMS data, Todd Sterling is affiliated with Tidalhealth Peninsula Regional, Inc, Union Hospital Of Cecil County, Rex Hospital, Upmc Hanover and Riverside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Todd Sterling was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.