Doctor profile · Federal record
Dr. NICOLE WELLBAUM, MD
Obstetrics & Gynecology Physician (CMS: OBSTETRICS/GYNECOLOGY) · MOORESVILLE, NC
- NPI 1740544600
- Accepts Medicare
- 14 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
131 MEDICAL PARK RD STE 102
MOORESVILLE, NC 281178523
(704) 663-1282
fax (704) 663-1413 - Mailing address
-
PO BOX 1845
STATESVILLE, NC 286871845
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- September 20, 2017
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- North Carolina #2016-00705
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740544600. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
42
Distinct HCPCS
2
Medicare allowed
$3,803
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 26 | 18 | $123 | |
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 16 | 16 | $38 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 17. This provider delivers 2.5× the peer median.Open Payments
Industry payments received
All-time total
$594
Transactions
23
Manufacturers
13
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sumitomo Pharma America, Inc. | 3 | $186.41 | |
| Astellas Pharma US Inc | 4 | $97.18 | |
| MAYNE PHARMA COMMERCIAL LLC | 2 | $64.54 | |
| PFIZER INC. | 3 | $55.99 | |
| CooperSurgical, Inc. | 3 | $55.31 | |
| Exact Sciences Corporation | 1 | $21.56 | |
| Biogen, Inc. | 1 | $18.96 | |
| MILLICENT US INC | 1 | $17.06 | |
| Evofem Biosciences, Inc. | 1 | $16.98 | |
| SHIELD THERAPEUTICS INC | 1 | $16.70 | |
| Novo Nordisk Inc | 1 | $15.27 | |
| Organon Llc | 1 | $14.24 | |
| Dexcom, Inc. | 1 | $13.77 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
88
Patients
15
Total drug cost
$5,160
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Clobetasol Propionate | Generic | 22 | 0 | $798 |
| Fluconazole | Generic | 21 | 0 | $96 |
| Estradiol | Generic | 19 | 15 | $1,736 |
| Progesterone (Progesterone, Micronized) | Brand | 14 | 0 | $2,459 |
| Gabapentin | Generic | 12 | 0 | $72 |