Nellie E. L. Fleming, MD

NPI 1003835364ActiveIndividual· Internal Medicine· Asheville, NC

Internal Medicine (MD) in Asheville, North Carolina, trained at Medical College of Georgia School of Medicine (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $131,924 for 1,212 claims, against $33,877 paid for services in 2024. Lilly USA, LLC was the largest of 3 companies reporting payments in 2025, $225.83 in all, mostly food and beverage.

Overview

NPI	1003835364
Status	Active
Entity type	Individual
Credential	MD
Sole proprietor	No
NPI issued	Jul 18, 2006
Last updated in NPPES	Jul 28, 2016

Specialties and licenses

Taxonomy	Code	License	State
Internal Medicine Primary	207R00000X	2016-01532	NC
Internal Medicine	207R00000X	LL27075	SC
Internal Medicine	207R00000X	036131600	IL

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Internal Medicine (NC)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	90
Services billed	1,092 across 63 procedure codes
Paid by Medicare	$33,877

Part D prescriptions in 2024

Prescriptions (claims)	1,212 · 2,913 30-day fills
Patients	95
Total drug cost	$131,924
Generic share	88% of claims

Medicare sources and data years

Education and affiliations

Medical school	Medical College of Georgia School of Medicine
Graduation year	2004
Medicare specialty	Internal Medicine
Secondary specialties	Hospitalist
Telehealth	Offers telehealth