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DAVID JERRET PUBANTZ MD
NPI 1023146388
Pediatrics in Charlotte, NC

Active since March 01, 2007PECOS Enrolled
4501 CAMERON VALLEY PKWY, STE 200-B, CHARLOTTE, NC 28211(704) 381-0500 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 51 more (54 updates tracked since 2016).

About David Jerret Pubantz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID JERRET PUBANTZ MD (NPI 1023146388) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2009-00634) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023146388
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDAVID JERRET PUBANTZCredential: MD
Location Address4501 CAMERON VALLEY PKWY, STE 200-BCharlotte, NC 28211-4297
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 381-0500
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 15, 202454 updates tracked since enumeration
✔ NPI 1023146388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2009-00634
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 2009-00634 (NC)
4501 CAMERON VALLEY PKWY, Charlotte, NC 28211
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11001 Blythe Blvd, Medical Center Plaza, Suite 200Charlotte, NC 28203-5866 · Phone (704) 381-8840
Location 2920 Church St NConcord, NC 28025-2927 · Phone (704) 403-3664
Location 31350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1422

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Jerret Pubantz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Pubantz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Allergy & Immunology
4525 CAMERON VALLEY PKWY, STE 2100
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1215573423 (704) 355-5100
Carolinas Medical Center
2.9 mi
Professional
3541 RANDOLPH RD, STE 206
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1942539010 (704) 381-8336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY SMITH
Pediatrics
4501 CAMERON VALLEY PKWY, SUITE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
STEPHANIE PETTUS KWON MD
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
MEDCARERX INC
Pharmacy (Community/Retail Pharmacy)
4501 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7440
CAROLINAS MEDICAL CENTER-NORTHEAST
Pediatrics (Developmental - Behavioral Pediatrics)
4501 CAMERON VALLEY PKWY, SUITE 301-B
CHARLOTTE, NC 28211
Mecklenburg County (704) 403-2626
ANNA TAYLOR SCHMELZER MD
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400
STEFANIE ANN KIENKER FNP
Nurse Practitioner (Family)
4501 CAMERON VALLEY PKWY, STE 300
CHARLOTTE, NC 28211
Mecklenburg County (704) 381-6255
JAKUB MIESZCZAK MD
Pediatrics (Pediatric Endocrinology)
4501 CAMERON VALLEY PKWY, STE 200
CHARLOTTE, NC 28211
Mecklenburg County (704) 512-3636
CHARLOTTE PEDIATRIC CLINIC
Pediatrics
4501 CAMERON VALLEY PKWY, STE 100
CHARLOTTE, NC 28211
Mecklenburg County (704) 367-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Pubantz's NPI number?

The NPI number for David Pubantz is 1023146388. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is David Pubantz located?

David Pubantz practices at 4501 Cameron Valley Pkwy Ste 200-B, Charlotte, NC 28211. The listed phone number is (704) 381-0500.

What is David Pubantz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Pubantz enrolled in Medicare?

Yes. David Pubantz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Pubantz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Pubantz reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Carolinas Medical Center (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Pubantz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Pubantz accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list David Pubantz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Pubantz was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.