Active NPI 1881098283 Individual Practitioner Female Practitioner

Allison Marie Wegmann , PA-C

Physician Assistant • Pinehurst, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Allison Wegmann, PA-C is a certified Physician Assistant practicing in Pinehurst, NC. With approximately 12 years of clinical experience since completing medical education in 2014, Allison Wegmann delivers high-quality medical care to the local community at 5 FIRST VILLAGE DR.

Allison Wegmann is affiliated with Pinehurst Surgical Clinic Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 First Village Dr

Pinehurst, NC 283749495

Telephone 9102956831

Associated Practice Facility / Clinic

🏢 Psc Commercial Bundle, Llc Facility NPI 1659836500

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pinehurst, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -1.8 yrs vs City Avg

City Avg: 13.8 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

93 Specialists

Practicing in Pinehurst, NC (9374 Statewide)

Telehealth Adoption Rate

11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wegmann (12 Years) 12 Yrs

Pinehurst Specialty Average (13.8 Years) 13.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	360	241	$514.00	$101.28
99213 Established patient office or other outpatient visit, typically 15 minutes	232	163	$363.00	$71.44
72110 X-ray of lower and sacral spine, minimum of 4 views	154	153	$196.00	$40.65
72100 X-ray of lower and sacral spine, 2-3 views	67	64	$153.00	$31.17
72050 X-ray of upper spine, 4 or 5 views	64	63	$204.00	$42.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$670.00	$133.95
72070 X-ray of middle spine, 2 views	39	38	$126.00	$25.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$451.00	$89.10
72040 X-ray of upper spine, 2-3 views	18	17	$152.00	$31.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	261	195	$292.41	$73.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	131	$444.30	$104.32
72110 X-ray of lower and sacral spine, minimum of 4 views	116	114	$193.16	$41.66
72050 X-ray of upper spine, 4 or 5 views	48	48	$195.31	$43.17
72070 X-ray of middle spine, 2 views	42	37	$117.12	$26.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$349.97	$91.58
72100 X-ray of lower and sacral spine, 2-3 views	38	37	$143.76	$31.71
36415 Insertion of needle into vein for collection of blood sample	29	29	$21.10	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$528.31	$136.42
71046 X-ray of chest, 2 views	22	22	$54.00	$21.95
80048 Blood test, basic group of blood chemicals (calcium, total)	19	19	$51.21	$7.89
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	19	19	$37.00	$7.23
81003 Automated urinalysis test	17	16	$21.00	$2.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$403.67	$146.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	129	$158.91	$74.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	52	$220.44	$104.47
72110 X-ray of lower and sacral spine, minimum of 4 views	50	50	$189.00	$42.24
72100 X-ray of lower and sacral spine, 2-3 views	30	28	$136.60	$32.55
36415 Insertion of needle into vein for collection of blood sample	28	27	$20.79	$2.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$229.87	$92.24
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	19	18	$37.00	$7.74
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	19	11	$259.91	$34.08
72070 X-ray of middle spine, 2 views	19	18	$110.00	$27.09
72050 X-ray of upper spine, 4 or 5 views	18	18	$182.00	$43.96
80048 Blood test, basic group of blood chemicals (calcium, total)	18	17	$57.00	$8.42
71046 X-ray of chest, 2 views	16	15	$55.19	$22.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$52.00	$18.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	145	$140.00	$75.07
72110 X-ray of lower and sacral spine, minimum of 4 views	92	92	$187.62	$40.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$205.00	$105.96
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	58	31	$232.95	$34.32
72100 X-ray of lower and sacral spine, 2-3 views	55	49	$136.33	$31.56
80048 Blood test, basic group of blood chemicals (calcium, total)	40	39	$57.00	$8.26
72050 X-ray of upper spine, 4 or 5 views	40	40	$182.00	$42.95
36415 Insertion of needle into vein for collection of blood sample	39	38	$21.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	38	$37.00	$7.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$205.00	$89.26
72070 X-ray of middle spine, 2 views	29	28	$110.00	$26.54
22845 Placement of stabilizing device to front, 2-3 spine bone segments	26	26	$720.94	$96.59
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	22	22	$1243.53	$199.24
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	21	16	$285.76	$43.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	15	15	$1616.00	$148.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	23	23	$463.97	$146.02
99283 Emergency department visit with low level of medical decision making	20	20	$164.46	$52.33
99284 Emergency department visit with moderate level of medical decision making	12	12	$314.46	$99.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	57	34	$394.74	$34.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$250.00	$88.63
99213 Established patient office or other outpatient visit, typically 15 minutes	48	45	$185.00	$60.04
22633 Fusion of spine in lower back with partial removal of spine bone and disc	23	22	$1375.00	$247.27
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	17	$1406.25	$114.28
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	17	$1675.00	$102.28
22867 Insertion of stabilizing or separating device into lower spine at single level with open decompression	17	17	$1893.75	$65.39
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	14	11	$607.14	$66.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$250.00	$88.58
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$1375.00	$228.25
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	11	11	$1174.43	$114.56

Medical Specialties & State Licenses

CMS Verified: 2021-03-16

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 0010-10880

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Pinehurst Surgical Clinic Pa

5 1st Village Dr, Pinehurst, NC 283749495

Phone: 9102956831

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)

Dr. Reid Vegeler , MD

Surgery

NPI 1043471121

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location March 16, 2021

Registered at 5 FIRST VILLAGE DR, PINEHURST, NC 283749495 (Tel: 9102956831)

📍

Updated Business Mailing Address March 16, 2021

Registered at 5 FIRST VILLAGE DR, PINEHURST, NC 283749495 (Tel: 9102956831)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2021

Physician Assistant (License #0010-10880 in NC)

📍

Updated Practice Location January 28, 2020

Registered at 2501 N PATTERSON ST, VALDOSTA, GA 316021735 (Tel: 2204331000)

👤

Provider Name / Credentials Updated January 28, 2020

Recorded as ALLISON WEGMANN, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2020

Physician Assistant (License #8610 in GA)

📍

Updated Practice Location April 03, 2018

Registered at 100 MIMOSA DR FL 3, THOMASVILLE, GA 317926676 (Tel: 2232268881)

📍

Updated Business Mailing Address April 03, 2018

Registered at 100 MIMOSA DR FL 3, THOMASVILLE, GA 317926676 (Tel: 2232268881)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2018

Physician Assistant (License #008610 in GA)

✅

NPI Profile Active October 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 14, 2014

Registered at 6567 E CARONDELET DR, SUITE 305, TUCSON, AZ 857106152 (Tel: 5208818400)

📍

Updated Business Mailing Address October 14, 2014

Registered at 6567 E CARONDELET DR, SUITE 305, TUCSON, AZ 857106152 (Tel: 5208818400)

👤

Provider Name / Credentials Updated October 14, 2014

Recorded as ALLISON DOWNING, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2014

Physician Assistant (License #5875 in AZ)

🟢

Initial NPI Registration & Enumeration October 14, 2014

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: 1881098283

Entity Type:

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

Enumeration Date: October 14, 2014

Last Update: March 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 First Village Dr

Pinehurst, NC 283749495

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

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.