BENJAMIN PAUL GILMER MD
NPI 1295770618
Family Medicine in Fletcher, NC

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
1542 CANE CREEK RD, FLETCHER, NC 28732(828) 628-8250(828) 628-8633 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Paul Gilmer Md NPPES

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

BENJAMIN PAUL GILMER MD (NPI 1295770618) is an individual family medicine provider in Fletcher, North Carolina, licensed in North Carolina (2009-01049) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Brody School Of Medicine At East Carolina University (2006).

NPPES Registry Identity

NPI1295770618
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN PAUL GILMERCredential: MD
Location Address1542 CANE CREEK RDFletcher, NC 28732
Mailing Address119 Hendersonville RdAsheville, NC 28803-2868 · (828) 628-8250 · Fax (828) 628-8633
Fax(828) 628-8633
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2006
Enumeration DateJune 19, 2006
Last NPPES UpdateMay 30, 2018
NPI 1295770618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2009-01049
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1542 CANE CREEK RD, Fletcher, NC 28732

Other Identifiers 1

Medicaid1295770618NC

Accepted 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 Paul Gilmer 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 ID3779634670
PECOS Enrollment IDI20090707000222
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28732 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
$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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers27 claims76 services$6.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims16 services$1.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
1542 CANE CREEK RD
FLETCHER, NC 28732
Physician Assistant
1542 CANE CREEK RD
FLETCHER, NC 28732
Clinic/Center (Federally Qualified Health Center (FQHC))
1542 CANE CREEK RD
FLETCHER, NC 28732
Nurse Practitioner (Family)
1542 CANE CREEK RD
FLETCHER, NC 28732

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 Gilmer's NPI number?

The NPI number for Benjamin Gilmer is 1295770618. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Benjamin Gilmer located?

Benjamin Gilmer practices at 1542 Cane Creek Rd, Fletcher, NC 28732. The listed phone number is (828) 628-8250.

What is Benjamin Gilmer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Gilmer enrolled in Medicare?

Yes. Benjamin Gilmer 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 Gilmer accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Benjamin Gilmer 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 Gilmer affiliated with any hospitals?

According to CMS data, Benjamin Gilmer is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Margaret R Pardee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Gilmer was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.