Active NPI
William D Hoover, MD
- Dermatology Physician
- Concord, NC
National Provider Identifier
1720064116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 31725
- Practice address
- 335 Penny LN
Concord, NC 28025-1221 - Phone
- (704) 784-5901
- Fax
- (704) 721-0413
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 31725 | NC | Primary |
| Procedural Dermatology Physician | 207NS0135X | 31725 | NC |
Addresses
Primary practice location
335 Penny LN
Concord, NC 28025-1221
Mailing address
335 Penny LN
Concord, NC 28025-1221
Phone (704) 784-5901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8943699 | Medicaid | NC | |
| 110051384 | Other | NC | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100913000435 | NC | Practitioner - Dermatology | 6608991864 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology Group of the Carolinas
Practice addresses (Care Compare)
335 Penny LN
Concord, NC 28025-1221
Phone (704) 784-5907
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.93 of 100
- Quality
- 69.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 682 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 18 |
| Skin biopsy | 112 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31725 | NC | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Group of the Carolinas | Dermatology | Current | Accepting new patients |
Locations
335 Penny Ln
Concord, NC 28025
Phone (704) 784-5901
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1720064116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 PENNY LN",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251221",
"telephone_number": "704-784-5901",
"fax_number": "704-721-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 PENNY LN",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251221",
"telephone_number": "704-784-5901",
"fax_number": "704-721-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "WILLIAM",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "31725",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NC",
"license": "31725",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8943699",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110051384",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.