DR. JOHN W. BYRON M.D.
NPI 1992769806
Obstetrics & Gynecology in Southern Pines, NC

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.04/100
CMS Quality Rating
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC, SOUTHERN PINES, NC 28387(910) 692-7928(910) 692-5962 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John W. Byron M.d. NPPES

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

DR. JOHN W. BYRON M.D. (NPI 1992769806) is an individual obstetrics & gynecology provider in Southern Pines, North Carolina, licensed in North Carolina (9600473) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1985).

NPPES Registry Identity

NPI1992769806
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOHN W. BYRONCredential: M.D.
Location Address145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PCSouthern Pines, NC 28387
Mailing AddressPo Box 749, Southern Pines Womens Health Center PcSouthern Pines, NC 28388-0749 · (910) 692-7928 · Fax (910) 692-5962
Fax(910) 692-5962
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1985
Enumeration DateApril 17, 2006
Last NPPES UpdateFebruary 25, 2010
NPI 1992769806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 9600473
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
145 APPLECROSS RD, Southern Pines, NC 28387

Other Identifiers 9

OtherFH1000035First Carolina Care
Medicare ID-Type Unspecified2228426
Other9663436Ghi
Other160030492Medicare Railroad
Medicare UPING29350
MedicaidN00477SC
Other20627Blue Cross Blue Shield
Other31122Medcost
Medicaid8920627NC

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

Dr. John W. Byron 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 ID1759419757
PECOS Enrollment IDI20100512000868
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services52 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
31 services31 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.
21 services18 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
21 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 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.

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.

94.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
Improvement Activities40
Cost90.99

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.

Obstetrics & Gynecology
145 APPLECROSS RD
SOUTHERN PINES, NC 28387
Obstetrics & Gynecology
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387
Obstetrics & Gynecology
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387
Obstetrics & Gynecology
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387
Obstetrics & Gynecology
145 APPLECROSS RD, SOUTHERN PINES WOMENS HEALTH CENTER PC
SOUTHERN PINES, NC 28387
Nurse Practitioner (Family)
145 APPLECROSS RD
SOUTHERN PINES, NC 28387

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 John Byron's NPI number?

The NPI number for John Byron is 1992769806. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is John Byron located?

John Byron practices at 145 Applecross Rd Southern Pines Womens Health Center PC, Southern Pines, NC 28387. The listed phone number is (910) 692-7928.

What is John Byron's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Byron enrolled in Medicare?

Yes. John Byron 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 John Byron 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 John Byron 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 John Byron affiliated with any hospitals?

According to CMS data, John Byron is affiliated with Firsthealth Moore Regional Hospital.

When was this NPI record last updated?

The NPPES record for John Byron was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.