DOUGLAS NEDEROSTEK – Emergency Medicine Physician, NPI 1386746576
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,808 EMERGENCY MEDICINE in NC
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Provider Addresses for DOUGLAS NEDEROSTEK
PO BOX 409540
ATLANTA, GA 303849540
Phone:
Type: Mailing
Southeastern Health, 300, West 27th Street, Lumberton, Robeson County, North Carolina, 28359, United States
LUMBERTON, NC 283583075
Phone: (910) 671-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031120000162 | I | Emergency Medicine | NC | TBD |
| I20140827001206 | I | Emergency Medicine | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 129 | 114 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 72 | 70 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 24 | 24 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NC | |
| Emergency Medicine | TX | |
| Emergency Medicine | FL | |
| Emergency Medicine | NC | |
| Emergency Medicine | NC | |
| Emergency Medicine | NY | |
| Physician Assistant | NC | |
| H O S P I T A L I S T | NC | |
| Physician Assistant | NC | |
| Emergency Medicine | PA |
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