John Neidecker, DO
NPI 1821289174 · Family Medicine Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Sports Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Neidecker, DO is a Family Medicine Physician provider in Raleigh, NC (NPI 1821289174).
Provider details
- NPI number
- 1821289174
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 207Q00000X (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
156 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 48 | $71 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 32 | $121 |
| X-Ray of Knee, 4 Or More Views73564 | 22 | $44 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 21 | $85 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 20 | $157 |
| X-Ray of Shoulder, Minimum of 2 Views73030 |
Practice location
Mailing address
Additional practice locations (4)
- 200 W Parkview Dr Ste BHenderson, NC 27536-5958Phone: (919) 562-9410Fax: (919) 562-2948
- 6602 Knightdale Blvd Ste 310Knightdale, NC 27545-6526Phone: (919) 562-9410Fax: (919) 562-2948
- 103 Professional Park Ste aOxford, NC 27565-2581Phone: (919) 562-9410Fax: (919) 562-2948
- 2605 Blue Ridge Rd Ste 320Raleigh, NC 27607-6475Phone: (919) 562-9410Fax: (919) 562-2948
Registry dates
- Enumerated
- 2007-08-01
- Last updated
- 2018-03-17
Frequently asked questions
- What is John Neidecker's NPI number?
- John Neidecker's National Provider Identifier (NPI) is 1821289174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Neidecker's specialty?
- John Neidecker is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is John Neidecker located?
- John Neidecker's practice location on file with NPPES is 11200 Governor Manly Way Ste 309, Raleigh, NC 27614-7375.
- What is John Neidecker's phone number?
- The practice phone number listed in the NPPES registry for John Neidecker is (919) 562-9410.
- Does John Neidecker accept Medicare?
- John Neidecker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Neidecker's NPI active?
- Yes — John Neidecker's NPI (1821289174) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.