Active NPI 1023146289 Individual Practitioner Male Practitioner

Dr. Reginald Cathey , MD

Surgery • Eden, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Reginald Cathey, MD is a certified Surgery practicing in Eden, NC. With approximately 24 years of clinical experience since graduating from Brody School Of Medicine At East Carolina University in 2002, Dr. Cathey delivers high-quality medical care to the local community at 515 THOMPSON ST.

Dr. Cathey is affiliated with Unc Physicians Network Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 Thompson St
Suite B

Eden, NC 272885068

Telephone 3366239118

Associated Practice Facility / Clinic

🏢 Morehead Memorial Hospital Facility NPI 1457332702

Medicare Profile & Education

Medical School

Brody School Of Medicine At East Carolina University

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Eden, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +5.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Eden, NC (1222 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cathey (24 Years) 24 Yrs

Eden Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	22	$185.00	$61.66
11042 Removal of skin and tissue, 20.0 sq cm or less	55	11	$369.00	$54.11
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$196.00	$84.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	16	$231.00	$73.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$269.00	$104.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$473.16	$121.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	23	$194.61	$63.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$253.05	$104.59
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$196.00	$86.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	13	$215.48	$76.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$121.00	$54.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$477.68	$126.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1574.93	$242.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$240.91	$80.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	25	$196.00	$65.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$240.00	$108.60
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$196.00	$87.95
11042 Removal of skin and tissue, 20.0 sq cm or less	31	12	$378.00	$58.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	15	$210.00	$69.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$120.00	$54.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	14	$113.00	$37.59
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$318.89	$97.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$246.60	$81.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	23	$194.10	$66.77
99213 Established patient office or other outpatient visit, typically 15 minutes	62	46	$186.50	$86.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$251.53	$109.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$107.40	$54.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	20	$115.00	$37.76
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$313.73	$94.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1672.00	$251.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$212.50	$68.67
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$986.57	$183.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1118.91	$96.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	43	$176.33	$50.67
11042 Removal of skin and tissue, 20.0 sq cm or less	85	22	$353.46	$60.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$258.14	$105.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	31	$116.45	$39.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	25	$260.47	$78.64
99213 Established patient office or other outpatient visit, typically 15 minutes	50	44	$176.62	$73.39
99221 Initial hospital inpatient care per day, typically 30 minutes	47	45	$304.98	$99.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$100.80	$43.48
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1672.00	$257.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$104.31	$25.49
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$871.59	$152.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	36	$176.00	$49.82
11042 Removal of skin and tissue, 20.0 sq cm or less	54	17	$348.56	$58.34
99213 Established patient office or other outpatient visit, typically 15 minutes	50	39	$163.80	$71.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	31	$115.02	$37.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	37	$94.84	$43.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$247.50	$100.27
99221 Initial hospital inpatient care per day, typically 30 minutes	37	37	$294.14	$96.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	21	$260.00	$76.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	15	$1672.00	$254.59
45380 Biopsy of large bowel using an endoscope	17	17	$1485.00	$157.16
45378 Diagnostic exam of large bowel using a flexible endoscope	12	11	$986.58	$184.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	27	$172.20	$65.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	15	$179.38	$70.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$93.81	$40.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$251.00	$103.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	12	$258.81	$103.36
45380 Biopsy of large bowel using an endoscope	14	14	$1114.57	$199.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$373.57	$125.42
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$172.09	$71.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1358.82	$252.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	48	$178.49	$69.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	47	$340.85	$132.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$262.13	$102.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	21	$181.46	$69.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	21	$261.85	$102.61
45380 Biopsy of large bowel using an endoscope	19	19	$981.16	$199.28

Medical Specialties & State Licenses

CMS Verified: 2021-05-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 2008-01232

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 MS 20533

Surgery

NUCC Taxonomy Code: 208600000X

State License SC 35200

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

07128002 (MS)

Hospital & Practice Group Affiliations

Unc Physicians Network Llc

515 Thompson St, Eden, NC 272885040

Phone: 3366239118

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Marc Demason , MD

Surgery

NPI 1285616854

Doctor of Medicine (M.D.)

Dr. Megan Straughan , MD

Surgery

NPI 1548522329

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address May 06, 2021

Registered at 2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 275608442 (Tel: 9842154110)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2021

Surgery (License #2008-01232 in NC)

✅

NPI Profile Active January 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2013

Registered at 515 THOMPSON ST, SUITE B, EDEN, NC 272885068 (Tel: 3366239118)

📍

Updated Business Mailing Address January 08, 2013

Registered at PO BOX 488, EDEN, NC 272890488 (Tel: 3366270362)

👤

Provider Name / Credentials Updated January 08, 2013

Recorded as REGINALD CATHEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2013

Surgery (License #2008-01232 in NC)

🟢

Initial NPI Registration & Enumeration March 01, 2007

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: 1023146289

Entity Type:

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

Enumeration Date: March 01, 2007

Last Update: May 06, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Perimeter Park Dr Ste 200

Morrisville, NC 275608442

Phone: 9842154110

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.