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BENJAMIN DAVID UMBEL DO
NPI 1194266965
Orthopaedic Surgery - Foot and Ankle Surgery in Morganton, NC

Active since March 14, 2017PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
503 E PARKER RD, MORGANTON, NC 28655(828) 437-6500(828) 330-0930 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2024, Mar 9, 2023, Mar 14, 2017 (3 updates tracked since 2017).

About Benjamin David Umbel Do NPPES

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

BENJAMIN DAVID UMBEL DO (NPI 1194266965) is an individual foot and ankle surgery provider in Morganton, North Carolina, licensed in North Carolina (2022-03073) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Blue Ridge Healthcare Hospitals, Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194266965
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameBENJAMIN DAVID UMBELCredential: DO
Location Address503 E PARKER RDMorganton, NC 28655-5104
Mailing Address1903 Wendy LnPoland, OH 44514-1660 · (330) 501-1755
Phone(828) 437-6500
Fax(828) 330-0930
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2017
Enumeration DateMarch 14, 2017
Last NPPES UpdateSeptember 3, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1194266965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in NC · 2022-03073
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2022-03073 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
503 E PARKER RD, Morganton, NC 28655
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1841 Malcolm BlvdRutherford Colelge, NC 28671 · Phone (828) 874-3379 · Fax (828) 874-0833
Location 2160 River Bend Dr Ste CGranite Falls, NC 28630-9371 · Phone (828) 572-7305 · Fax (828) 330-0950
Location 35131 Beacon Hill Rd, Suite 160Columbus, OH 43228-4442 · Phone (614) 544-1837 · Fax (614) 544-2816

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin David Umbel Do 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 ID3870864572
PECOS Enrollment IDI20230718001978
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 Reassignment

Medicare enrollment records show Benjamin Umbel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergeortho PA
156 mi
Orthopaedic Surgery
120 WILLIAM PENN PLZ
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 300 clinicians in this Medicare group
NPI 1376592964 (919) 220-5255

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

Areas of Expertise CMS Part B claims 9

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.

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.
262 services179 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
255 services157 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
129 services83 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
126 services13 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.
76 services60 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
60 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Other Providers at the Same Location NPPES 11

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

DR. MARK S BRAZINSKI MD
Orthopaedic Surgery
503 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 437-6500
DR. ADAM GRAHAM STREET D.O.
Family Medicine (Sports Medicine)
503 E PARKER RD
MORGANTON, NC 28655
Burke County (719) 526-5033
DR. JASON DAVID ZOOK M.D.
Orthopaedic Surgery
503 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 437-6500
KYLE R MUNDAY PA-C
Physician Assistant (Surgical)
503 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 437-6500
EMERGEORTHO, PA
Durable Medical Equipment & Medical Supplies
503 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 437-6500
ROBERT PAUL COPE D.O.
Orthopaedic Surgery
503 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 437-6500
DR. WILLIAM BACON BELL MD
Orthopaedic Surgery
503 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 437-6500
MR. MATTHEW ADAM BOGAERT PA-C
Physician Assistant
503 E PARKER RD
MORGANTON, NC 28655
Burke County (828) 459-6824

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 Umbel's NPI number?

The NPI number for Benjamin Umbel is 1194266965. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Benjamin Umbel located?

Benjamin Umbel practices at 503 E Parker Rd, Morganton, NC 28655. The listed phone number is (828) 437-6500.

What is Benjamin Umbel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Benjamin Umbel enrolled in Medicare?

Yes. Benjamin Umbel 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.

Which organization bills Medicare for Benjamin Umbel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Umbel reassigns Medicare benefits to Emergeortho PA (Durham, NC). The 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 Benjamin Umbel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Umbel accept?

Health plans from UnitedHealthcare list Benjamin Umbel 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 Umbel affiliated with any hospitals?

According to CMS data, Benjamin Umbel is affiliated with Blue Ridge Healthcare Hospitals, Inc, Frye Regional Medical Center and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Umbel was last updated on September 3, 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.