BENJAMIN JAMES MUCCI PA-C
NPI 1265061808
Physician Assistant in Charlotte, NC

Q: What is Benjamin Mucci's NPI number?

The NPI number for Benjamin Mucci is 1265061808. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Q: What is Benjamin Mucci's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Mucci was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment

86.41/100

CMS Quality Rating

125 QUEENS RD STE 250, CHARLOTTE, NC 28204(704) 316-5100(704) 316-5101 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Aug 5, 2025, Oct 11, 2021 and 2 more (5 updates tracked since 2020).

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About Benjamin James Mucci Pa-c NPPES

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

BENJAMIN JAMES MUCCI PA-C (NPI 1265061808) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-15330) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265061808

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBENJAMIN JAMES MUCCICredential: PA-C

Location Address125 QUEENS RD STE 250Charlotte, NC 28204-3419

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(704) 316-5100

Fax(704) 316-5101

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 6, 2020

Last NPPES UpdateMay 6, 20265 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1265061808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-15330

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 005065 (CT)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

125 QUEENS RD STE 250, Charlotte, NC 28204

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Secondary Practice Locations 2

Location 185 Seymour St Ste 1022Hartford, CT 06106-5530 · Phone (860) 972-3570

Location 280 Seymour St, Hartford Hospital Cardiology DeptHartford, CT 06102-8000 · Phone (860) 972-2795

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

Benjamin James Mucci Pa-c 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 ID1153736277

PECOS Enrollment IDI20210222002808, I20250827005240

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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Telephone medical discussion provided by nonphysician professional, 11-20 minutes 98967

This service involves a nonphysician professional, like a nurse or therapist, discussing your health concerns over the phone for 11-20 minutes. It's a convenient way to address questions or issues without needing to visit the clinic.

12 services12 patients

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.

86.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.99

Promoting Interoperability

100

Improvement Activities

Cost

43.03

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.

HANNAH RAE FLYNN ACNP

Nurse Practitioner (Acute Care)