Dr. Nancy Brous-Distefano, DO
1380 Cowell Farm Rd, Washington, NC 27889 • +1-944-555-9838
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Washington Percentiles
NPI #1508821315 • CBSA Regional • Family Practice
Dr. Nancy Brous-Distefano, DO (NPI #1508821315) practices Family Practice in Washington, NC (27889) with sub-specialty concentration in 79 Active CMS HCPCS Codes, recording 2,725 annual CMS services across 325 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Washington percentile) (-0.04σ vs NC state mean, 73.37th statewide percentile).
Dr. Brous-Distefano's longitudinal care intensity (8.4 billed units per patient across 325 individuals) centers on 99214 (368 annual units) and 99213 ($33–$48 cash range).
At 1380 Cowell Farm Rd (27889), Dr. Nancy Brous-Distefano, DO accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.84/5 bedside rating).
Credentialed as an DO specialist with 34 years post-graduation experience since completing medical school at an LCME/COCA institution (1992), Dr. Brous-Distefano coordinates 79 Active CMS HCPCS Codes workups from 1380 Cowell Farm Rd (+1-944-555-9838).
Compared against Washington, NC Family Practice peers
2,725 annual services across 325 beneficiaries
Standard deviations from NC Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 368 | 12th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 272 | 12th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 105 | 12th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 79 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 53 | 12th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (79 HCPCS billing breadth) | 1,848 | 0th | $45 – $65 |
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Dr. Nancy Brous-Distefano, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Brous-Distefano National Provider Identifier | NPI #1508821315 (DO) | CMS NPPES Registry (27889) |
| Dr. Brous-Distefano Washington CMS Volume Rank | 0.00th Pct (2,725 CMS svcs; Z -0.038σ) | CMS Medicare Part B (NC Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Washington, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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