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Nicole Allen, DO, FAAFP

NPI 1932550381ActiveIndividual· Family Medicine· Spruce Pine, NC

Opted out of Medicare from October 2025 to October 2027. Family Medicine (DO, FAAFP) in Spruce Pine, North Carolina, licensed in NC and SC, with an NPI issued in June 2016. Their prescriptions cost Medicare Part D more than their services did: $708,795 for 5,710 claims, against $1,945 paid for services in 2024.

Overview

NPI1932550381
StatusActive
Entity typeIndividual
CredentialDO, FAAFP
Sole proprietorYes
NPI issuedJun 28, 2016
Last updated in NPPESJul 10, 2026
Certified by providerJul 10, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X2019-01462NC
Family Medicine207Q00000XLL39371SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Oct 1, 2025 – Oct 1, 2027
Can order and referYes
Accepts assignmentYes (participating)

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare services in 2024

Medicare patients76
Services billed156 across 11 procedure codes
Paid by Medicare$1,945

Part D prescriptions in 2024

Prescriptions (claims)5,710 · 10,435 30-day fills
Patients304
Total drug cost$708,795
Generic share80% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine providers in Spruce Pine

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