JUSTIN BENTLEY
NPI 1356868863
Physician Assistant in Lillington, NC
NPI Status: Active since August 25, 2017
Contact Information
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
Phone: (480) 433-0231
- Individual
- Male
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About JUSTIN BENTLEY
This page provides the complete NPI Profile along with additional information for Justin Bentley, a primary care provider established in Lillington, North Carolina with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1356868863 assigned on August 2017. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1356868863
- Provider Name
- JUSTIN BENTLEY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 S 10TH ST LILLINGTON, NC 27546
- Location Phone
- (480) 433-0231
- Mailing Address
- 100 SOUTH 10TH STREET LILLINGTON, NC 27546
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2017
- Last Update Date
- 11-16-2018
- Code Navigator
A primary care provider (PCP) like Justin Bentley sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Justin Bentley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 15 times for 15 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 72 times for 69 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 73 times for 73 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 31 times for 31 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 23 times for 19 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 27546 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for JUSTIN BENTLEY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 8 | 6 | 8 | 8 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 16 | 6 | 16 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 6 + 6 + 1 + 6 + 8 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1356868863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
WYATT WHEELER THOMPSON PA-C
Physician Assistant
(Medical)
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
AUBREY LENORE WILSON PA-C
Physician Assistant
(Medical)
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
LARRY BLAINE MAHOOD II PA-C
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
ASHLEY L COTHRAN PA-C
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
RODOLFO C REYES MD
Internal Medicine
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
ROBERT GOLDBACH MD
Pediatrics
100 S 10TH ST
STE B
LILLINGTON, NC
ZIP 27546
CARLA HAMILTON BROWN FNP
Nurse Practitioner
(Family)
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
LOGAN R SINGER PA-C
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
MRS. JAMIE STRICKLAND CAMPBELL PA-C
Physician Assistant
(Medical)
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
SYDNEY ROWAN
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
MAGGIE JONES
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
MARIANA CARMEN MATEO PA-C
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
MS. CHRISTINA PHAN NGUYEN PA-C
Physician Assistant
(Medical)
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Family Medicine
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
ANNE PRICE PA-C
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
GWENNAELLE MENNEAR THOMPSON PA-C
Physician Assistant
(Medical)
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
MRS. MARY CANDACE SEAGLE PA-C
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
AMANDA ADELE FREEMAN PA
Physician Assistant
100 S 10TH ST
LILLINGTON, NC
ZIP 27546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356868863, enumerated as an "individual" on August 25, 2017.
The provider is located at 100 S 10TH ST LILLINGTON, NC 27546 and the phone number is (480) 433-0231.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
