ARLENE HALLEGADO M.D.
NPI 1982794012
Family Medicine in Jacksonville, NC

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
1000 BRABHAM LN, JACKSONVILLE, NC 28546(910) 341-3300(910) 251-2067 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arlene Hallegado M.d. NPPES

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

ARLENE HALLEGADO M.D. (NPI 1982794012) is an individual family medicine provider in Jacksonville, North Carolina, licensed in North Carolina (2012-01744) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1982794012
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameARLENE HALLEGADOCredential: M.D.
Location Address1000 BRABHAM LNJacksonville, NC 28546-5003
Mailing Address1000 Brabham LnJacksonville, NC 28546-5003 · (910) 341-3300 · Fax (910) 251-2067
Fax(910) 251-2067
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 12, 2006
Last NPPES UpdateAugust 5, 2016
NPI 1982794012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2012-01744
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.
1000 BRABHAM LN, Jacksonville, NC 28546

Other Identifiers 17

OtherOK9025NJ · Healthnet
Other1067718NJ · Nj Health
Other411537NJ · Cigna
Other478425NJ · Aetna
Other5902147NJ · Ghi
OtherEP265NJ · Oxford
Medicare UPINF92240
Other223620928NJ · Local 472
Other0314423001NJ · Amerihealth
Medicaid6689701NJ
Medicare PINHA548606
OtherJ2399NJ · Horizon
Medicare UPINF92240NJ
Other13714NJ · Uhp
Other81448NJ · Amerigroup
Other01000059400NJ · Americhoice
Other1864386NJ · United

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

Arlene Hallegado 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 ID7012170004
PECOS Enrollment IDI20120914000555
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 19

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.
407 services187 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
242 services149 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
133 services113 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
132 services119 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
129 services96 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
128 services112 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims27 services$5.91 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims19 services$29.08 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 NPPES

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

Physician Assistant
1000 BRABHAM LN
JACKSONVILLE, NC 28546

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 Arlene Hallegado's NPI number?

The NPI number for Arlene Hallegado is 1982794012. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Arlene Hallegado located?

Arlene Hallegado practices at 1000 Brabham Ln, Jacksonville, NC 28546. The listed phone number is (910) 341-3300.

What is Arlene Hallegado's specialty?

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

Is Arlene Hallegado enrolled in Medicare?

Yes. Arlene Hallegado 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 Arlene Hallegado accept?

Health plans from UnitedHealthcare list Arlene Hallegado 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 Arlene Hallegado affiliated with any hospitals?

According to CMS data, Arlene Hallegado is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Arlene Hallegado was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.