DR. BRIAN CHRISTOPHER DE BENEDICTIS M.D., M.S.
NPI 1114291267
Pediatrics in Asheville, NC
NPI Status: Active since March 06, 2012
Contact Information
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
Phone: (828) 213-1740
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About BRIAN DE BENEDICTIS
This page provides the complete NPI Profile along with additional information for Brian De Benedictis, a pediatrician established in Asheville, North Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1114291267 assigned on March 2012. The practitioner's primary taxonomy code is 208000000X with license number 201502484 (NC). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1114291267
- Provider Name
- DR. BRIAN CHRISTOPHER DE BENEDICTIS M.D., M.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11 VANDERBILT PARK DR ASHEVILLE, NC 28803
- Location Phone
- (828) 213-1740
- Mailing Address
- 11 VANDERBILT PARK DR ASHEVILLE, NC 28803
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-06-2012
- Last Update Date
- 02-27-2017
- Code Navigator
A pediatrician like Brian De Benedictis is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 201502484
- License State
- NC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | 201502484 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Brian De Benedictis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28803 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. BRIAN CHRISTOPHER DE BENEDICTIS M.D., M.S.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 9 | 1 | 2 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 9 | 2 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 9 + 2 + 2 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1114291267 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
BRUCE KENNETH BACOT M.D.
Pediatrics
(Pediatric Pulmonology)
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
KRYSTAL BOTTOM M.D.
Pediatrics
(Pediatric Hematology-Oncology)
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
DARREN BOICE LCSW
Social Worker
(Clinical)
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
DOUGLAS C. LAGARDE M.D.
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
MARY BESSE ORMOND N.P.
Nurse Practitioner
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
SUSAN R. MIMS M.D.
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
MISSION HOSPITALS INC
Social Worker
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
DR. DANIEL LAWRENCE LEONARD DDS
Dentist
11 VANDERBILT PARK DR
MISSION CHILDREN'S DENTAL PROGRAM
ASHEVILLE, NC
ZIP 28803
DR. STEPHANIE ANN SABATINI DDS MPH
Dentist
11 VANDERBILT PARK DR
MISSION CHILDREN'S DENTAL PROGRAM
ASHEVILLE, NC
ZIP 28803
DR. STEVEN DEAN STACY DDS
Dentist
11 VANDERBILT PARK DR
MISSION CHILDREN'S DENTAL PROGRAM
ASHEVILLE, NC
ZIP 28803
ANSLEY C MILLER MD
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
LESLEY E EDWARDS RD,LDN,CDE
Dietitian, Registered
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
MELISSA LILLIE LCSW
Social Worker
(Clinical)
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
MRS. KAREN DUNCAN LCSW
Social Worker
(Clinical)
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
MISSION MEDICAL ASSOCIATES INC
Clinic/Center
(Dental)
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
JESSICA N STRATTON LDN
Dietitian, Registered
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
KAREN L LUTOMSKI LDN
Dietitian, Registered
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
MISSION HOSITALS INC
Social Worker
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
JULIA N KILLEN NP
Nurse Practitioner
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
MIRIAM RUTH BURKETT SCOTT LCSW
Social Worker
(Clinical)
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114291267, enumerated as an "individual" on March 06, 2012.
The provider is located at 11 VANDERBILT PARK DR ASHEVILLE, NC 28803 and the phone number is (828) 213-1740.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: BannerAetna, Blue Cross Blue Shield of Arizona,. Please consult your insurance carrier or call the provider to verify.
