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GERALD WILLIAM BENNETT JR.
NPI 1053762179
Hospitalist in Charlotte, NC

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment
10905 PROVIDENCE RD W, STE G200, CHARLOTTE, NC 28277(980) 488-4900(980) 488-4905 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Apr 2, 2024, Jun 30, 2016 (3 updates tracked since 2016).

About Gerald William Bennett Jr. NPPES

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

GERALD WILLIAM BENNETT JR. (NPI 1053762179) is an individual hospitalist provider in Charlotte, North Carolina, licensed in North Carolina (2023-03354) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Anson, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053762179
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGERALD WILLIAM BENNETT JR.
Location Address10905 PROVIDENCE RD W, STE G200Charlotte, NC 28277-1538
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 488-4900 · Fax (980) 488-4905
Phone(980) 488-4900
Fax(980) 488-4905
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 30, 2016
Last NPPES UpdateApril 24, 20243 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1053762179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2023-03354
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License LL39578 (SC)
10905 PROVIDENCE RD W, STE G200, Charlotte, NC 28277
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gerald William Bennett Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870881469
PECOS Enrollment IDI20240408000296
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
218 services205 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
122 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
91 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services38 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services46 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Anson

Acute Care Hospitals · Wadesboro, NC
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340084
Location2301 Us Highway 74 WestWadesboro, NC 28170 · Anson County
Emergency services

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$13.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$52.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. COREY STEPHEN WILSON M.D.
Hospitalist
10905 PROVIDENCE RD W, STE G200
CHARLOTTE, NC 28277
Mecklenburg County (980) 488-4900

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 Gerald Bennett's NPI number?

The NPI number for Gerald Bennett is 1053762179. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Gerald Bennett located?

Gerald Bennett practices at 10905 Providence Rd W, Ste G200, Charlotte, NC 28277. The listed phone number is (980) 488-4900.

What is Gerald Bennett's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gerald Bennett enrolled in Medicare?

Yes. Gerald Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gerald Bennett accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Gerald Bennett 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.

Is Gerald Bennett affiliated with any hospitals?

According to CMS data, Gerald Bennett is affiliated with Atrium Health Anson, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Gerald Bennett was last updated on April 24, 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.