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KATIE JETER BENNETT MD
NPI 1164957577
Surgery in Charlotte, NC

Active since April 23, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1021 MOREHEAD MEDICAL DR, STE A, CHARLOTTE, NC 28204(980) 442-2000 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2023, Mar 9, 2023, Feb 28, 2023 and 7 more (10 updates tracked since 2017).

About Katie Jeter Bennett Md NPPES

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

KATIE JETER BENNETT MD (NPI 1164957577) is an individual surgery provider in Charlotte, North Carolina, licensed in North Carolina (2022-01491) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial University Medical Center, and is a graduate of Mercer University School Of Medicine (2017).

NPPES Registry Identity

NPI1164957577
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKATIE JETER BENNETTCredential: MD
Location Address1021 MOREHEAD MEDICAL DR, STE ACharlotte, NC 28204-2990
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(980) 442-2000
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2017
Enumeration DateApril 23, 2017
Last NPPES UpdateMay 4, 202310 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1164957577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2022-01491
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1021 MOREHEAD MEDICAL DR, Charlotte, NC 28204
Open in Google Maps ↗

Accepted Insurance

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

Katie Jeter Bennett Md 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 ID1759655566
PECOS Enrollment IDI20231218001597
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.

Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
19 services18 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

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.

ARMIDA PARALA-METZ MD
Internal Medicine (Hospice and Palliative Medicine)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MANISHA BHUTANI MD
Internal Medicine (Hematology)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
TRISHA WOOTEN FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
VALERIE DENISE TAYLOR PA
Physician Assistant
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MICHAEL SHELDON RICHARDSON MD
Internal Medicine
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
LEAH HOWE CUPP FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
DEBA SARMA MD
Surgery
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
PETER EARL CLARK MD
Urology
1021 MOREHEAD MEDICAL DR, STE 6100
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000

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 Katie Bennett's NPI number?

The NPI number for Katie Bennett is 1164957577. It was assigned to this individual provider in the NPPES registry on April 23, 2017.

Where is Katie Bennett located?

Katie Bennett practices at 1021 Morehead Medical Dr Ste A, Charlotte, NC 28204. The listed phone number is (980) 442-2000.

What is Katie Bennett's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Katie Bennett enrolled in Medicare?

Yes. Katie 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 Katie Bennett accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Katie 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 Katie Bennett affiliated with any hospitals?

According to CMS data, Katie Bennett is affiliated with Memorial University Medical Center.

When was this NPI record last updated?

The NPPES record for Katie Bennett was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.