Dr. Nellie E. L. Fleming, MD

  • Asheville, NC
  • Internist
NPI1003835364PAC ID2466559620
Medicare services, 2024
883
Medicare patients, 2024
90
Part D claims, 2024
1,212
Hospital affiliations
1
Industry payments
$1,367
Practice address
147 Asheland Ave, Asheville, NC 28801
Practice phone
Call (828) 258-1188
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Biltmore Medical Associates, PA

Asheville, North Carolina

See all 5 affiliations

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Dr. Nellie E. L. Fleming is an internist in Asheville, North Carolina

Dr. Fleming practices at Biltmore Medical Associates, PA in Asheville, North Carolina.

Dr. Fleming's NPI, 1003835364, was assigned on July 18, 2006. Dr. Fleming graduated from Medical College of Georgia School of Medicine in 2004. Dr. Fleming holds North Carolina license 2016-01532.

NPI and contact details
Medicare PAC ID
2466559620
NPI enumeration date
July 18, 2006
NPI status
Active
Offers telehealth
Yes
Practice phone
(828) 258-1188
Professional email
Get email
Personal email
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Mobile number
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Sex
Female
Estimated age
48
Medical school graduation
2004

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Nellie E. L. Fleming practices at Biltmore Medical Associates, PA in Asheville, North Carolina

Dr. Fleming's primary practice is Biltmore Medical Associates, PA, at 147 Asheland Ave, Asheville, NC 28801 in Buncombe County. The practice phone is (828) 258-1188.

  • Biltmore Medical Associates, PA
    147 Asheland Ave, Asheville, NC 28801 · Buncombe CountyPhone(828) 258-1188

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Nellie E. L. Fleming is affiliated with 3 sites of care and 2 medical groups

Dr. Fleming's primary practice is Biltmore Medical Associates, PA in Asheville, North Carolina. Dr. Fleming is also affiliated with Mission Hospital. The medical group on file is Hospital Physician Services - Southeast Professional Corporation. Dmand AI also links Dr. Fleming to 1 more group practice or clinic and 1 medical group, each named with a free account.

See all 5 affiliations for Dr. Fleming

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Nellie E. L. Fleming's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Fleming practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Biltmore Medical Associates, PAAvailable with a free account
+2 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Nellie E. L. Fleming is one of 3,705 internists in North Carolina

Internal medicine is Dr. Fleming's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dmand AI has Dr. Fleming's licenses on file in 3 states: North Carolina, Illinois and South Carolina.

Specialties and state licenses

  • Internal medicine, North CarolinaPrimaryLicense 2016-01532 · taxonomy 207R00000X
  • Illinois licenseLicense 036131600
  • South Carolina licenseLicense LL27075

Internists near Dr. Fleming

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Nellie E. L. Fleming billed Medicare for 883 services in 2024

CMS data shows 883 Medicare services from Dr. Fleming across 18 procedure codes in 2024, for 90 Medicare patients. Medicare paid $23,852 for them. Every service was in an office.

Medicare services, 2024883
Medicare patients90
Paid by Medicare$23,852
Procedure codes18

Dr. Fleming's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Lab and pathology
2023: 4052024: 34515%
Office and hospital visits
2023: 1872024: 29357%
Other services
2023: 1322024: 1342%
Surgery
2023: 1432024: 11122%
Tests and treatments
2023: 632024: 0100%

Dr. Fleming compared with the North Carolina median for internists, 2024

  • Dr. Fleming
  • North Carolina median
Medicare services
883vs 52169% above
Medicare patients
90vs 18551% below
Part D claims
814vs 2723.0 times

Medians across 3,695 internists in North Carolina with Dmand AI profiles that report each measure.

Dr. Fleming's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Fleming

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Fleming and other internists in North Carolina.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Nellie E. L. Fleming treated 90 Medicare patients in 2024, average age 77

CMS counts 90 Medicare patients who saw Dr. Fleming in 2024. The largest group is 75 to 84, with 43 patients. 75% of them have high blood pressure, and 75% have high cholesterol. Their average risk score is 0.88, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Fleming's median patient age at 65, with 74% women.

Medicare patients, 202490
Average age77
Average risk score0.88

Dr. Fleming's Medicare patients by age, 2024

Dr. Fleming's Medicare patients by sex, 2024

  • Women6572%
  • Men2528%

Chronic conditions among Dr. Fleming's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis51%
  4. Chronic kidney disease36%
  5. Depression26%
  6. Mood disorders26%
  7. Anxiety24%
  8. Osteoporosis22%

Share of Medicare patients with each condition. A patient can have several.

Dr. Fleming's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 65

Patient panel by sex, all payers

  • Women74%
  • Men25%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Nellie E. L. Fleming wrote 1,212 Medicare Part D claims in 2024

In 2024, Dr. Fleming wrote 1,212 Medicare Part D claims for 95 patients. 88% of them were for generic drugs. CMS names the drug for 814 of them, across 30 drugs with 11 or more claims each, at $81,816 in total drug cost. In 2023, CMS named 865 claims across 34 drugs.

Part D claims, 20241,212
Drugs named by CMS30
Total drug cost$81,816
Part D patients95

Dr. Fleming's Part D claims by kind of drug, 2024

  • Generic1,063 claims88%
  • Brand-name149 claims12%

Dr. Fleming's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Fleming's Part D claims, 2024

  • Antibiotics2%23 of 1,212 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 8652024: 8146%

Drugs named by CMS: 30 in 2024, 34 in 2023.

See all prescribing by Dr. Fleming

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Nellie E. L. Fleming offers telehealth to Medicare patients

CMS lists Dr. Fleming as offering telehealth.

Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Nellie E. L. Fleming received $1,367 in industry payments from 2020 to 2025

CMS Open Payments shows 71 general payments to Dr. Fleming from 27 drug and device companies from 2020 to 2025. Food and beverage make up the largest share, 100% of the total. Eli Lilly and Company paid the most, $255.

General payments to Dr. Fleming by program year, 2020 to 2025

Companies that paid Dr. Fleming the most, 2020 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Fleming

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Nellie E. L. Fleming graduated from Medical College of Georgia School of Medicine

Dr. Fleming graduated from Medical College of Georgia School of Medicine in 2004.

  1. Medical schoolMedical College of Georgia School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Nellie E. L. Fleming's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Nellie E. L. Fleming

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Nellie E. L. Fleming's NPI number?

Dr. Nellie E. L. Fleming's NPI number is 1003835364. It was assigned on July 18, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Nellie E. L. Fleming?

Dr. Nellie E. L. Fleming is an internist in Asheville, North Carolina. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Nellie E. L. Fleming practice?

Dr. Fleming practices at 147 Asheland Ave, Asheville, NC 28801. Dr. Fleming's primary practice is Biltmore Medical Associates, PA in Asheville, North Carolina. Dmand AI also links Dr. Fleming to 1 group practice or clinic and 1 medical group.

What is Dr. Nellie E. L. Fleming's office phone number?

The practice phone on file for Dr. Fleming is (828) 258-1188.

What is Dr. Nellie E. L. Fleming's medical license number?

Dr. Fleming holds North Carolina license 2016-01532, one of the licenses on file in 3 states.

Which states has Dr. Nellie E. L. Fleming been licensed in?

Dmand AI has state licenses on file for Dr. Fleming in North Carolina, Illinois and South Carolina.

Which hospitals is Dr. Nellie E. L. Fleming affiliated with?

Dr. Fleming is affiliated with Mission Hospital.

What medical group is Dr. Nellie E. L. Fleming part of?

Dr. Fleming is linked to Hospital Physician Services - Southeast Professional Corporation. Dmand AI links Dr. Fleming to 1 more medical group.

Does Dr. Nellie E. L. Fleming accept Medicare?

Yes. CMS data shows Dr. Fleming billed Medicare for 883 services in 2024.

Does Dr. Nellie E. L. Fleming offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Fleming as offering telehealth services.

Show 6 more questionsShow fewer questions

How many Medicare patients does Dr. Nellie E. L. Fleming see?

CMS counts 90 Medicare patients who saw Dr. Fleming in 2024, with an average age of 77.

What services does Dr. Nellie E. L. Fleming bill to Medicare?

In 2024, Dr. Fleming's most billed Medicare services were surgery: heart and blood vessels (36415), office visit, established patient (99214) and lab and pathology test (85025).

Where did Dr. Nellie E. L. Fleming go to medical school?

Dr. Fleming graduated from Medical College of Georgia School of Medicine in 2004.

What drugs does Dr. Nellie E. L. Fleming prescribe most?

In 2024 Medicare Part D data, Dr. Fleming's most prescribed drugs by claims were Rosuvastatin Calcium, Losartan Potassium and Atorvastatin Calcium.

Has Dr. Nellie E. L. Fleming received payments from drug or device companies?

CMS Open Payments shows $1,367 in general payments to Dr. Fleming from 27 companies from 2020 to 2025. The largest total came from Eli Lilly and Company.

How long has Dr. Nellie E. L. Fleming been practicing?

Dr. Fleming graduated from medical school in 2004, 22 years ago.

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