Active NPI 1043471121 Individual Practitioner Male Practitioner

Dr. Reid Christopher Vegeler , MD

Surgery • Pinehurst, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Reid Vegeler, MD is a certified Surgery practicing in Pinehurst, NC. With approximately 18 years of clinical experience since graduating from Indiana University School Of Medicine in 2008, Dr. Vegeler delivers high-quality medical care to the local community at 5 FIRSTVILLAGE DRIVE.

Dr. Vegeler is affiliated with Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of external hemorrhoids by rubber banding, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 Firstvillage Drive

Pinehurst, NC 28374

Telephone 9102956831

Fax 9102950244

Associated Practice Facility / Clinic

🏢 Pinehurst Surgical Clinic Pa Facility NPI 1962434324

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pinehurst, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -7.2 yrs vs City Avg

City Avg: 25.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Pinehurst, NC (1222 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vegeler (18 Years) 18 Yrs

Pinehurst Specialty Average (25.2 Years) 25.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	61	$222.95	$123.13
46221 Removal of external hemorrhoids by rubber banding	30	18	$841.00	$272.49
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$151.36	$88.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$345.29	$155.88
46600 Diagnostic examination of the anus using an endoscope	14	14	$132.00	$114.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	83	$220.28	$122.84
99213 Established patient office or other outpatient visit, typically 15 minutes	82	60	$148.45	$88.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$341.14	$163.17
46221 Removal of external hemorrhoids by rubber banding	77	46	$841.00	$281.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	48	$165.11	$68.51
45380 Biopsy of large bowel using an endoscope	32	32	$1252.00	$133.59
46600 Diagnostic examination of the anus using an endoscope	30	26	$132.00	$118.68
36415 Insertion of needle into vein for collection of blood sample	24	16	$21.00	$2.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$391.50	$193.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$260.86	$131.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1504.00	$246.51
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	11	11	$301.45	$29.79
15860 Injection of agent into vein to assess blood flow of skin graft or flap	11	11	$353.27	$52.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	83	$149.92	$89.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$332.96	$165.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	73	$221.67	$127.65
46221 Removal of external hemorrhoids by rubber banding	58	34	$841.00	$286.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	37	$125.00	$37.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	28	$165.44	$70.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$264.57	$133.84
45380 Biopsy of large bowel using an endoscope	31	31	$1252.00	$104.37
46600 Diagnostic examination of the anus using an endoscope	31	25	$132.00	$118.24
36415 Insertion of needle into vein for collection of blood sample	29	20	$21.00	$3.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1504.00	$239.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$37.00	$7.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	84	$150.92	$73.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$335.45	$158.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	71	$227.09	$104.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	29	$132.65	$39.17
46221 Removal of external hemorrhoids by rubber banding	41	29	$841.00	$269.18
36415 Insertion of needle into vein for collection of blood sample	37	29	$21.00	$2.98
45380 Biopsy of large bowel using an endoscope	32	32	$1252.00	$114.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	20	$164.47	$71.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$259.45	$136.70
80053 Blood test, comprehensive group of blood chemicals	25	21	$82.00	$10.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	25	21	$37.00	$7.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1504.00	$249.87
46600 Diagnostic examination of the anus using an endoscope	17	16	$132.00	$100.28
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	16	16	$48.00	$8.07
71046 X-ray of chest, 2 views	16	16	$73.00	$20.58
15860 Injection of agent into vein to assess blood flow of skin graft or flap	14	14	$391.71	$58.15
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	12	12	$372.50	$30.27
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	11	11	$5864.35	$1679.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	117	$135.36	$71.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$326.45	$153.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	95	$204.17	$104.10
46221 Removal of external hemorrhoids by rubber banding	71	36	$841.00	$263.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	56	$253.93	$134.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	37	$164.98	$71.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	44	$130.33	$37.85
36415 Insertion of needle into vein for collection of blood sample	49	43	$21.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	43	40	$37.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	41	39	$82.00	$11.51
45380 Biopsy of large bowel using an endoscope	35	35	$1252.00	$123.10
71046 X-ray of chest, 2 views	27	26	$73.00	$19.35
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	25	$48.00	$7.96
46600 Diagnostic examination of the anus using an endoscope	23	19	$132.00	$83.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1504.00	$244.81
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	14	12	$383.57	$27.84
15860 Injection of agent into vein to assess blood flow of skin graft or flap	12	12	$412.67	$52.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	81	$131.11	$69.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	85	$200.77	$101.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$315.96	$156.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	62	$131.44	$37.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	49	$165.46	$69.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$263.16	$129.56
46221 Removal of external hemorrhoids by rubber banding	46	26	$841.00	$257.43
36415 Insertion of needle into vein for collection of blood sample	37	33	$21.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	33	30	$37.00	$9.40
45380 Biopsy of large bowel using an endoscope	32	32	$1252.00	$96.50
80053 Blood test, comprehensive group of blood chemicals	31	29	$82.00	$12.78
46600 Diagnostic examination of the anus using an endoscope	30	24	$132.00	$81.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1504.00	$252.83
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	19	19	$48.00	$7.85
71046 X-ray of chest, 2 views	18	18	$73.00	$18.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	62	$134.29	$37.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$325.96	$155.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	47	$77.82	$40.19
99213 Established patient office or other outpatient visit, typically 15 minutes	70	48	$130.74	$69.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$256.50	$129.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	37	$164.82	$68.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$193.02	$102.39
36415 Insertion of needle into vein for collection of blood sample	36	30	$21.00	$2.94
46221 Removal of external hemorrhoids by rubber banding	33	23	$866.48	$242.32
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	31	27	$37.00	$10.11
80053 Blood test, comprehensive group of blood chemicals	31	27	$82.00	$10.99
46600 Diagnostic examination of the anus using an endoscope	29	27	$132.00	$83.21
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	22	$48.00	$7.83
71020 X-ray of chest, 2 views, front and side	20	20	$78.00	$15.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$206.25	$102.80

Medical Specialties & State Licenses

CMS Verified: 2023-07-31

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 201601482

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License RI MD15359

Surgery

NUCC Taxonomy Code: 208600000X

State License FL ME119715

Surgery

NUCC Taxonomy Code: 208600000X

State License DC MD039171

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

1221 Mercantile Ln, Largo, MD 207745374

Phone: 3016185700

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

655 Watkins Mill Rd, Gaithersburg, MD 208793301

Phone: 2406324000

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

13285 Minnieville Rd, Woodbridge, VA 221924018

Phone: 7039862400

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

10810 Connecticut Ave, Kensington, MD 208952138

Phone: 3019297100

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

2391 Greenspring Dr, Timonium, MD 210936038

Phone: 3018162424

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Toni Anne Washington , MD

Anesthesiology

NPI 1003877218

Doctor of Medicine (M.D.)

Dr. Olufunsho Adamolekun , DO

Surgery - Vascular Surgery

NPI 1013210459

Doctor of Osteopathic Medicine (D.O.)

Chad Cole , PA

Physician Assistant

NPI 1013975481

Physician Assistant

Stephen Bush , PA-C

Physician Assistant

NPI 1033532791

Physician Assistant (Certified)

James Nichols , PA-C

Physician Assistant - Surgical

NPI 1043241763

Physician Assistant (Certified)

Robert Bibey , PA-C

Physician Assistant

NPI 1043675291

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 12, 2018

Registered at 5 FIRSTVILLAGE DRIVE, PINEHURST, NC 28374 (Tel: 9102956831)

📍

Updated Business Mailing Address September 12, 2018

Registered at 5 FIRSTVILLAGE DRIVE, PO BOX 2000, PINEHURST, NC 28374 (Tel: 9102956831)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2018

Surgery (License #MD15359 in RI)

✅

NPI Profile Active March 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 30, 2016

Registered at 70 KENYON AVE, SUITE 325, WAKEFIELD, RI 028794239 (Tel: 4012841212)

📍

Updated Business Mailing Address March 30, 2016

Registered at PO BOX 229, WAKEFIELD, RI 028800229 (Tel: 4017883337)

👤

Provider Name / Credentials Updated March 30, 2016

Recorded as REID VEGELER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

Surgery (License #MD15359 in RI)

🟢

Initial NPI Registration & Enumeration June 20, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043471121

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2008

Last Update: July 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 Firstvillage Drive, Po Box 2000

Pinehurst, NC 28374

Phone: 9102956831

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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