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ELIZABETH BUMGARNER
NPI 1396738167
Pediatrics in Charlotte, NC

Active since August 26, 2005PECOS Enrolled
14214 BALLANTYNE LAKE RD, SUITE 300, CHARLOTTE, NC 28277(704) 667-2600 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2019, Jan 16, 2019, Jan 4, 2019 and 8 more (11 updates tracked since 2016).

About Elizabeth Bumgarner NPPES

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

ELIZABETH BUMGARNER (NPI 1396738167) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2010-01070) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396738167
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELIZABETH BUMGARNER
Location Address14214 BALLANTYNE LAKE RD, SUITE 300Charlotte, NC 28277-3372
Mailing Address14214 Ballantyne Lake RdCharlotte, NC 28277-3372
Phone(704) 667-2600
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateFebruary 12, 201911 updates tracked since enumeration
✔ NPI 1396738167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2010-01070
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14214 BALLANTYNE LAKE RD, Charlotte, NC 28277
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Bumgarner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier72 claims2,144 services$2.60 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims664 services$4.70 avg. paid by Medicare
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149
Other-Enteral and Parenteral · category OB006N
1 supplier21 claims6,304 services$0.88 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier52 claims11,756 services$0.32 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier27 claims10,738 services$0.28 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 20

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

PARDEEP KESRANI MD
Pediatrics
14214 BALLANTYNE LAKE RD, STE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2600
MATTHEW RAYMOND SNOW PA
Physician Assistant
14214 BALLANTYNE LAKE RD, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2650
BARNETT FAMILY PRACTICE
Family Medicine
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC 28277
Mecklenburg County (803) 283-2011
ERIC DANIEL SENSENBRENNER DO
Internal Medicine
14214 BALLANTYNE LAKE RD, STE 150
CHARLOTTE, NC 28277
Mecklenburg County (704) 863-4878
PAUL SMOLEN
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 300
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2600
CAROLINAS MEDICAL CENTER
Pediatrics
14214 BALLANTYNE LAKE RD, SUITE 150
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2680
KIMBERLY SPAIN FNP
Nurse Practitioner
14214 BALLANTYNE LAKE RD, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2650
CORINNE SIROIS RD
Dietitian, Registered
14214 BALLANTYNE LAKE RD, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 667-2681

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 Elizabeth Bumgarner's NPI number?

The NPI number for Elizabeth Bumgarner is 1396738167. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Elizabeth Bumgarner located?

Elizabeth Bumgarner practices at 14214 Ballantyne Lake Rd Suite 300, Charlotte, NC 28277. The listed phone number is (704) 667-2600.

What is Elizabeth Bumgarner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Bumgarner enrolled in Medicare?

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

What insurance does Elizabeth Bumgarner accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and Oscar Health Plan of North Carolina, Inc list Elizabeth Bumgarner 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Bumgarner was last updated on February 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.