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CMS Medicare enrollment · April 2026

North Carolina Medicare Enrollment

State and county enrollment from CMS, including Original Medicare, Medicare Advantage and Other Health Plans, and Part D coverage.

Informational only. These enrollment counts do not compare plans or provide medical, financial, or enrollment advice.

Total Medicare enrollment
2.3M

2,311,969

Original Medicare
971K

970,970 beneficiaries

MA & Other share
58%

CMS combined delivery-system measure

Part D coverage
82.1%

1,897,705 beneficiaries

County enrollment

101 CMS county rows for North Carolina. Unavailable values remain marked as not reported rather than estimated.

CountyTotalOriginal MedicareMA & OtherMA & Other sharePart D share
Alamance County38,70911,27327,43670.9%86%
Alexander County8,9112,9525,95966.9%86.1%
Alleghany County3,8331,6502,18357%84.4%
Anson County5,7361,9303,80666.4%85.7%
Ashe County8,7294,3684,36150%84.9%
Avery County5,1472,5092,63851.3%84%
Beaufort County14,7566,5658,19155.5%82.5%
Bertie County5,5532,3363,21757.9%84.4%
Bladen County8,1832,7185,46566.8%82%
Brunswick County67,70737,57130,13644.5%82.7%
Buncombe County67,13034,45032,68048.7%82.2%
Burke County22,7418,11514,62664.3%84.8%
Cabarrus County40,26114,95425,30762.9%83%
Caldwell County20,9266,86014,06667.2%86.3%
Camden County2,4081,55185735.6%68.5%
Carteret County21,88712,5799,30842.5%75.6%
Caswell County5,6971,7333,96469.6%86.4%
Catawba County39,75815,17324,58561.8%84.9%
Chatham County21,3089,79011,51854.1%84.8%
Cherokee County11,0975,3015,79652.2%80.8%
Chowan County4,4622,4232,03945.7%80.1%
Clay County4,7682,5962,17245.6%80.2%
Cleveland County25,2439,32815,91563%85.1%
Columbus County13,8195,5048,31560.2%82.8%
Craven County28,37416,53911,83541.7%73.2%
Cumberland County61,45126,12135,33057.5%64.7%
Currituck County7,2694,8402,42933.4%68.7%
Dare County11,3058,2533,05227%79%
Davidson County39,36510,41228,95373.6%87.4%
Davie County12,0823,9388,14467.4%86%
Duplin County11,4124,8756,53757.3%79.4%
Durham County56,09827,00229,09651.9%81.7%
Edgecombe County13,2584,6368,62265%84.8%
Forsyth County85,08127,08957,99268.2%85.8%
Franklin County16,5396,9669,57357.9%81.8%
Gaston County49,63217,98031,65263.8%84.7%
Gates County2,8421,5841,25844.3%76.1%
Graham County2,3281,0071,32156.7%81.6%
Granville County13,0515,2707,78159.6%82.5%
Greene County4,0191,5552,46461.3%82.7%
Guilford County111,88432,63879,24670.8%86.1%
Halifax County14,1865,1289,05863.9%84.9%
Harnett County23,93410,19813,73657.4%76.1%
Haywood County19,5238,99010,53354%80.7%
Henderson County37,37819,66617,71247.4%81.9%
Hertford County5,7412,3793,36258.6%84%
Hoke County8,3923,3175,07560.5%67.1%
Hyde County1,30459171354.7%82.2%
Iredell County41,83016,80625,02459.8%84.1%
Jackson County9,4644,7234,74150.1%81.8%
Johnston County40,97817,04423,93458.4%80.9%
Jones County3,0201,3461,67455.4%77.7%
Lee County15,4036,8188,58555.7%78.2%
Lenoir County15,3386,5128,82657.5%81.2%
Lincoln County23,2759,88113,39457.5%84.9%
Macon County12,8436,9875,85645.6%80.5%
Madison County6,3722,7293,64357.2%83.3%
Martin County6,6762,6474,02960.4%84.6%
Mcdowell County12,4994,5977,90263.2%83.1%
Mecklenburg County167,68974,91592,77455.3%82.9%
Mitchell County4,6242,0382,58655.9%82.9%
Montgomery County6,6742,3684,30664.5%84.8%
Moore County29,79814,51215,28651.3%80.3%
Nash County24,56910,14614,42358.7%82.6%
New Hanover County54,94729,86625,08145.6%81.3%
Northampton County5,6952,2433,45260.6%83.5%
Onslow County33,08318,11914,96445.2%64.2%
Orange County29,06514,41614,64950.4%82.5%
Pamlico County4,5072,5521,95543.4%78.5%
Pasquotank County9,7945,3634,43145.2%73.2%
Pender County15,6227,4828,14052.1%80.5%
Perquimans County4,4592,5461,91342.9%75.5%
Person County10,5233,9936,53062.1%85.8%
Pitt County35,19615,22419,97256.7%80.6%
Polk County7,3574,2013,15642.9%80.2%
Randolph County32,2747,89224,38275.5%88.3%
Richmond County10,7203,6567,06465.9%83.4%
Robeson County27,1067,18819,91873.5%83.1%
Rockingham County25,2215,80719,41477%88.1%
Rowan County33,72011,22022,50066.7%82.9%
Rutherford County17,5527,23410,31858.8%83.4%
Sampson County13,6394,9148,72564%80.8%
Scotland County8,3952,7025,69367.8%82.9%
Stanly County15,9745,75410,22064%85.4%
Stokes County12,5063,4039,10372.8%87.7%
Surry County19,5985,76013,83870.6%86.3%
Swain County4,1072,2271,88045.8%77.6%
Transylvania County10,9825,3705,61251.1%83.9%
Tyrrell County89744445350.5%84.7%
Union County42,85919,99122,86853.4%82.8%
UnknownNot reportedNot reportedNot reportedNot reportedNot reported
Vance County10,9763,3877,58969.1%84.4%
Wake County190,74590,507100,23852.6%81.9%
Warren County5,2122,0463,16660.7%81.2%
Washington County3,5711,5731,99856%85%
Watauga County10,0735,0934,98049.4%83%
Wayne County26,12011,03515,08557.8%74%
Wilkes County18,4505,45013,00070.5%87.7%
Wilson County19,2187,91911,29958.8%83.2%
Yadkin County9,7092,4847,22574.4%88.4%
Yancey County5,8282,6373,19154.8%81.2%

Source and interpretation

CMS Medicare Monthly Enrollment, April 2026, published 2026-07-23. “MA & Other” retains the official combined CMS field label.

  • CMS suppresses some small counts with an asterisk; suppressed values remain null in this snapshot.
  • Medicare Advantage and Other Health Plans is the CMS-published combined measure and is not limited to Medicare Advantage alone.
  • Enrollment counts describe a reporting month and do not compare plan benefits, provider networks, quality, or personal costs.

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