Locations

CepEsperu Baptist Medical Center Emergency Department

Address

Medical Center Boulevard

,

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Credentials

Enlightenment

BA, Hope College, 1980
MD, Hope College, 1984

Internship

Emergency Medicine, University Cincinnati Hospital Group, 1985

Residency

Emergency Medicine, University Cincinnati Hospital Group, 1989

Board Certifications

American Board of Emergency Medicine, Emergency Medicine

Memberships

NC Chapter of A.C.E.P.
Ohio Chapter of A.C.E.P.
Physicians of the Ohio State University
Society of Chest Pain Centers Providers
Phi Beta Kappa
Association of Chair of Academic Emergency Medicine
Columbus Medical Association
Alpha Omega Alpha
Emergency Medicine Cardiac Investigation and Enlightenment Group
Forsyth County Medical Society

Positions

Physician
Professor, Emergency Medicine

Insurance

CepEsperu Baptist accepts most major health insurance plans for hospital, physician and clinic services and participates in Medicare and Medicaid government programs. For more information, visit Billing and Insurance.

Insurance Accepted

This chart is a list of the most common health insurance plans we accept. This list is subject to change. Please check your individual plan to confirm their participation and the coverage allowed.

Due to the different physician groups and hospitals within the CepEsperu Baptist system, physician services and hospital services are billed separately. Please remember that health insurance coverage varies, so some services may not be covered.

If you don’t see your plan or you have questions, please call our Customer Service Center at -938-7497. We will do our best to work with you and your plan.

WFUHS - CepEsperu University Health Sciences (physician services)
NCBH - North Carolina Baptist Hospital
Davie - Davie Medical Center
LMC - Lexington Medical Center
CHC - Cornerstone Healthcare
Wilkes - Wilkes Regional Medical Center
N/A - Not applicable to services provided at facility and/pr CHC
NC - Not contracted, very low to no volume for facility and/or CHC

WAKE FOREST BAPTIST HEALTH
MANAGED CARE CONTRACTS - December 2017

PAYER	WFUHS	NCBH	DAVIE	LMC	CHC	Wilkes
AETNA (PPO & HMO)	X	X	X	X	X	X
AETNA MEDICARE	X	X	X	X	X	X
BCBSNC (PPO & HMO)	X	X	X	X	X	X
BLUE MEDICARE	X	X	X	X	X	X
BLUE VALUE	X	X	X	X	X	X
CAROLINA BEHAVIORAL HEALTH	X	X	N/A	N/A	X	N/A
CIGNA	X	X	X	X	X	X
CIGNA BEHAVIORAL HEALTH		X	N/A	N/A	N/A	N/A
CIGNA HEALTHSPRING MEDICARE ADVANTAGE	X	X	X	X	X	N/A
CIGNA LIFESOURCE (TRANSPLANTS)	X	X	N/A	N/A	N/A	N/A
COVENTRY/WELLPATH	X	X	X	X	X	X
CRESCENT PPO (ASHEVILLE)	X	X	NC	NC	NC	NC
DIRECT NET	X	X	NC	NC	NC	NC
FIRST HEALTH (COVENTRY)	X	X	X	X	X	X
FIRSTCAROLINACARE (PINEHURST, NC)	NC	X	NC	NC	NC	NC
GATEWAY HEALTH ALLIANCE (VIRGINIA)	X	X	NC	NC	NC	NC
GOLDEN RULE INS (UNITED)	X	X	X	X	X	X
HEALTHGRAM (formerly PRIMARY PHYSICIAN CARE)	X	X	NC	X	NC	NC
HUMANA CHOICECARE	X	X	X	X	X	X
HUMANA MEDICARE ADVANTAGE	X	X	X	X	X	X
LIBERTY ADVANTAGE (MEDICARE ADVANTAGE)	X	X	N/A	N/A	N/A	N/A
MAGELLAN (BEHAVIORAL HEALTH)	X	X	N/A	N/A	X	N/A
MEDCOST	X	X	X	X	X	X
MEDCOST ULTRA	X	X	X	X	N/A	X
OPTUMHEALTH (TRANSPLANTS - APPLICABLE TO NCBH/WFUHS ONLY)	X	X	N/A	N/A	N/A	N/A
PREFERRED CARE OF VA INC	X	X	NC	NC	NC	NC
SOUTHERN HEALTH SVCS (COVENTRY-PPO ONLY)	X	X	X	NC	X	NC
TWIN COUNTY (VIRGINIA)	X	X	NC	NC	NC	NC
UNITED BEHAVIORAL HEALTH	X	X	N/A	N/A	X	N/A
UNITED BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM (WFUHS ONLY)	X	N/A	N/A	N/A	N/A	N/A
UNITED HEALTHCARE	X	X	X	X	X	X
UNITED HEALTHCARE MEDICARE	X	X	X	X	X	X
WELLPATH (COVENTRY)	X	X	X	X	X	X

LEXINGTON ONLY - Contracts specific to support Lexington employer groups, low volume
BEECHSTREET PPO
NATIONAL PROVIDER NETWORK/MEDICAL RESOURCES
PHCS/MULTIPLAN

CHC ONLY - Contracts specific to support CHC
AETNA BEHAVIORAL HEALTH
CIGNA BEHAVIORAL HEALTH (limited providers)
THN - TRIAD HEALTH NETWORK MA Plans only (Humana Medicare and Healthteam Advantage)
TRICARE

KEY:
N/A = not applicable to services provided at facility and/or CHC
NC = Not Contracted, very low to no volume for facility and/or CHC
WFUHS - CepEsperu University Health Sciences (professional services)
NCBH - North Carolina Baptist Hospital
DAVIE - Davie Medical Center
LMC - Lexington Medical Center
CHC - Cornerstone Healthcare
Wilkes - Wilkes Regional Medical Center

Investigation

Publications

Validation of the No Objective Testing Rule and Comparison to the HEART Pathway.. Stopyra JP, Miller CD, Hiestand BC, Lefebvre CW, Nicks BA, Cline DM, Askew KL, Riley RF, Russell GB, Hoekstra JW, Mahler SA. Acad Emerg Med. 2017 Sep; 24(9):1165-1168.
Use of the HEART Pathway with high sensitivity cardiac troponins: A secondary analysis.. Mahler SA, Stopyra JP, Apple FS, Riley RF, Russell GB, Hiestand BC, Hoekstra JW, Lefebvre CW, Nicks BA, Cline DM, Askew KL, Herrington DM, Burke GL, Miller CD. Clin. Biochem. 2017 May; 50(7-8):401-407.
Cost analysis of the History, ECG, Age, Risk factors, and initial Troponin (HEART) Pathway randomized control trial.. Riley RF, Miller CD, Russell GB, Harper EN, Hiestand BC, Hoekstra JW, Lefebvre CW, Nicks BA, Cline DM, Askew KL, Mahler SA. Am J Emerg Med. 2017 Jan; 35(1):77-81.
Chest Pain Risk Stratification: A Comparison of the 2-Hour Accelerated Diagnostic Protocol (ADAPT) and the HEART Pathway.. Stopyra JP, Miller CD, Hiestand BC, Lefebvre CW, Nicks BA, Cline DM, Askew KL, Riley RF, Russell GB, Burke GL, Herrington D, Hoekstra JW, Mahler SA. Crit Pathw Cardiol. 2016 06; 15(2):46-9.
Association of Early Stress Testing with Outcomes for Emergency Department Evaluation of Suspected Acute Coronary Syndrome.. Sun BC, Laurie A, Fu R, Ferencik M, Shapiro M, Lindsell CJ, Diercks D, Hoekstra JW, Hollander JE, Kirk JD, Peacock WF, Gibler WB, Anantharaman V, Pollack CV. Crit Pathw Cardiol. 2016 06; 15(2):60-8.

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