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DR. LAURIE BUMGARNER M.D.
NPI 1366412538
Family Medicine in Charlotte, NC

Active since January 23, 2006PECOS Enrolled
1918 RANDOLPH RD, SUITE 175, CHARLOTTE, NC 28207(704) 316-1050(704) 316-1051 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Laurie Bumgarner M.d. NPPES

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

DR. LAURIE BUMGARNER M.D. (NPI 1366412538) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (38018) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366412538
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAURIE BUMGARNERCredential: M.D.
Location Address1918 RANDOLPH RD, SUITE 175Charlotte, NC 28207-1100
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (704) 316-1050 · Fax (704) 316-1051
Phone(704) 316-1050
Fax(704) 316-1051
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1366412538 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 · 38018
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.
1918 RANDOLPH RD, Charlotte, NC 28207
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Other Identifiers 1

Medicaid2159218DNC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Laurie Bumgarner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Laurie Bumgarner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC
Same address
Pediatric Gastroenterology
1918 RANDOLPH RD STE 210
Charlotte, NC 28207
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1003966185 (704) 316-5060

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
65%20 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
57%21 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
34%29 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. SIMON VIVIAN WARD III M.D.
Obstetrics & Gynecology
1918 RANDOLPH RD, SUITE 670
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1620
ADAM F. SPITZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1125
JENNIFER LYNN KELSO MD
Emergency Medicine
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1050
DICK A. RICHARDS PA-C
Physician Assistant
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1050
DR. RICHARD KLEINMANN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1125
NALLE PHARMACY INC
Pharmacy (Clinic Pharmacy)
1918 RANDOLPH RD, SUITE 120
CHARLOTTE, NC 28207
Mecklenburg County (704) 342-8180
DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC
Dermatology
1918 RANDOLPH RD, SUITE 550
CHARLOTTE, NC 28207
Mecklenburg County (704) 375-6766
DR. WALTER WALLACE JOHNSON M.D.
Internal Medicine
1918 RANDOLPH RD, SUITE 350
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1750

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 Laurie Bumgarner's NPI number?

The NPI number for Laurie Bumgarner is 1366412538. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Laurie Bumgarner located?

Laurie Bumgarner practices at 1918 Randolph Rd Suite 175, Charlotte, NC 28207. The listed phone number is (704) 316-1050.

What is Laurie Bumgarner's specialty?

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

Is Laurie Bumgarner enrolled in Medicare?

Yes. Laurie Bumgarner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laurie Bumgarner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Bumgarner reassigns Medicare benefits to Novant Health Medical Group, LLC (Charlotte, 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 Laurie Bumgarner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laurie Bumgarner was last updated on October 29, 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.