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BENI MFITIDI MD
NPI 1538796503
Family Medicine in Lake Wylie, SC

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
99.81/100
CMS Quality Rating
1200 VILLAGE HARBOR DR, LAKE WYLIE, SC 29710(803) 631-2858 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2023, Mar 26, 2020 (2 updates tracked since 2020).

About Beni Mfitidi Md NPPES

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

BENI MFITIDI MD (NPI 1538796503) is an individual family medicine provider in Lake Wylie, South Carolina, licensed in South Carolina (90556) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538796503
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBENI MFITIDICredential: MD
Location Address1200 VILLAGE HARBOR DRLake Wylie, SC 29710-9092
Mailing Address1200 Village Harbor DrLake Wylie, SC 29710-9092 · (803) 631-2858
Phone(803) 631-2858
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1538796503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 90556
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.
1200 VILLAGE HARBOR DR, Lake Wylie, SC 29710
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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.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

Beni Mfitidi 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 ID7618391426
PECOS Enrollment IDI20231003003646
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services66 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services16 patients
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.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29710 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

99.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.98
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. JONATHAN JAY LIU MD
Family Medicine
1200 VILLAGE HARBOR DR
LAKE WYLIE, SC 29710
York County (803) 631-2858
AMANDA C IVEY FNP-C
Nurse Practitioner (Family)
1200 VILLAGE HARBOR DR
LAKE WYLIE, SC 29710
York County (803) 631-2858

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 Beni Mfitidi's NPI number?

The NPI number for Beni Mfitidi is 1538796503. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Beni Mfitidi located?

Beni Mfitidi practices at 1200 Village Harbor Dr, Lake Wylie, SC 29710. The listed phone number is (803) 631-2858.

What is Beni Mfitidi's specialty?

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

Is Beni Mfitidi enrolled in Medicare?

Yes. Beni Mfitidi 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 Beni Mfitidi accept?

Health plans from Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina list Beni Mfitidi 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 Beni Mfitidi affiliated with any hospitals?

According to CMS data, Beni Mfitidi is affiliated with Caromont Regional Medical Center and Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Beni Mfitidi was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.