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DR. BENJAMIN LEE COULTER M.D.
NPI 1174782205
Pathology - Anatomic Pathology & Clinical Pathology in Wilson, NC

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2693 FOREST HILLS RD SW, SUITE B, WILSON, NC 27893(252) 234-2841(252) 234-9270 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin Lee Coulter M.d. NPPES

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

DR. BENJAMIN LEE COULTER M.D. (NPI 1174782205) is an individual anatomic pathology & clinical pathology provider in Wilson, North Carolina, licensed in South Carolina (LL30873) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174782205
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. BENJAMIN LEE COULTERCredential: M.D.
Location Address2693 FOREST HILLS RD SW, SUITE BWilson, NC 27893-8611
Mailing Address103 Continental Place, Suite 400Brentwood, TN 37027-1073 · (615) 815-2517 · Fax (844) 714-7189
Phone(252) 234-2841
Fax(252) 234-9270
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 4, 2008
Last NPPES UpdateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1174782205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in SC · LL30873
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2693 FOREST HILLS RD SW, Wilson, NC 27893
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Dr. Benjamin Lee Coulter M.d. 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 ID8527201011
PECOS Enrollment IDI20130903000186
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 12

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
2,926 services626 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
294 services105 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
207 services137 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
134 services131 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
122 services28 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
111 services75 patients

Hospital Affiliations CMS Care Compare 5

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Ecu Health North Hospital

Acute Care Hospitals · Roanoke Rapids, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340151
Location250 Smith Church RoadRoanoke Rapids, NC 27870 · Halifax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 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.

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
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

GEORGE DRENNAN SMITH II M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2693 FOREST HILLS RD SW, SUITE B
WILSON, NC 27893
Wilson County (252) 234-2841
AARON R FREEDLANDER BOCPO
Prosthetist
2693 FOREST HILLS RD SW, STE E
WILSON, NC 27893
Wilson County (252) 991-6109
KIM DRAYTON
Marriage & Family Therapist
2693 FOREST HILLS RD SW
WILSON, NC 27893
Wilson County (252) 234-7800
CNC/ACCESS, INC.
Community/Behavioral Health
2693 FOREST HILLS RD SW, SUITE D
WILSON, NC 27893
Wilson County (800) 866-0860
CNC/ACCESS, INC.
Community/Behavioral Health
2693 FOREST HILLS RD SW, SUITE D
WILSON, NC 27893
Wilson County (800) 866-0860
APP-ECP, LLC
Clinical Medical Laboratory
2693 FOREST HILLS RD SW, SUITE B
WILSON, NC 27893
Wilson County (252) 234-2841
CANDIS SHERELL DANZY
Social Worker (Clinical)
2693 FOREST HILLS RD SW
WILSON, NC 27893
Wilson County (252) 234-7800
MONARCH
Community/Behavioral Health
2693 FOREST HILLS RD SW
WILSON, NC 27893
Wilson County (704) 986-1500

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 Benjamin Coulter's NPI number?

The NPI number for Benjamin Coulter is 1174782205. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Benjamin Coulter located?

Benjamin Coulter practices at 2693 Forest Hills Rd SW Suite B, Wilson, NC 27893. The listed phone number is (252) 234-2841.

What is Benjamin Coulter's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Benjamin Coulter enrolled in Medicare?

Yes. Benjamin Coulter 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 Benjamin Coulter accept?

Health plans from Blue Cross and Blue Shield of NC list Benjamin Coulter 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 Benjamin Coulter affiliated with any hospitals?

According to CMS data, Benjamin Coulter is affiliated with Ecu Health Medical Center, Johnston Health, Vidant Edgecombe Hospital, Wilson Medical Center and Ecu Health North Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Coulter was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.