BEN O OGUNWALE M.D.
NPI 1720126600
Internal Medicine - Gastroenterology in Charlotte, NC

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
93.68/100
CMS Quality Rating
320 LILLINGTON AVE, SUITE 101, CHARLOTTE, NC 28204(704) 362-4403(704) 362-4405 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ben O Ogunwale M.d. NPPES

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

BEN O OGUNWALE M.D. (NPI 1720126600) is an individual gastroenterology provider in Charlotte, North Carolina, licensed in North Carolina (2007-01133) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1720126600
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBEN O OGUNWALECredential: M.D.
Location Address320 LILLINGTON AVE, SUITE 101Charlotte, NC 28204-3189
Mailing Address320 Lillington Ave, Suite 101Charlotte, NC 28204-3189 · (704) 362-4403 · Fax (704) 362-4405
Fax(704) 362-4405
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 2, 2007
Last NPPES UpdateMarch 16, 2017
NPI 1720126600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 2007-01133
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-082786 (OH)
320 LILLINGTON AVE, Charlotte, NC 28204

Other Identifiers 2

Medicaid59-12694NC
Medicare UPINH93091OH

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

Ben O Ogunwale M.d. 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 ID8426037953
PECOS Enrollment IDI20090819000529
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 14

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 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.
225 services91 patients
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.
77 services58 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
73 services38 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
52 services48 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.
46 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

93.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.98
Promoting Interoperability56
Improvement Activities40
Cost99.98

Reported Quality Measures

Colorectal Cancer Screening
83%1,295 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
35%333 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%5,931 patients5/55-star benchmark: 100%
e-Prescribing
97%686 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%510 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
94%2,150 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
21%4,900 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 1,469 patients
Patients screened: 87% · 1,469 patients
99%144 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
32%895 patients2/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
42%690 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 559 patients
Patients totalRate: 11% · 559 patients
11%559 patients3/55-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 9

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

Physician Assistant
320 LILLINGTON AVE, SUITE 101
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
320 LILLINGTON AVE, SUITE 202
CHARLOTTE, NC 28204
Speech-Language Pathologist
320 LILLINGTON AVE, SUITE 202
CHARLOTTE, NC 28204
Internal Medicine (Cardiovascular Disease)
320 LILLINGTON AVE, SUITE 201
CHARLOTTE, NC 28204
Speech-Language Pathologist
320 LILLINGTON AVE, STE 202
CHARLOTTE, NC 28204
Speech-Language Pathologist
320 LILLINGTON AVE, SUITE 202
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
320 LILLINGTON AVE, SUITE 101
CHARLOTTE, NC 28204
Hearing Instrument Specialist
320 LILLINGTON AVE, SUITE 101
CHARLOTTE, NC 28204

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 Ben Ogunwale's NPI number?

The NPI number for Ben Ogunwale is 1720126600. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Ben Ogunwale located?

Ben Ogunwale practices at 320 Lillington Ave Suite 101, Charlotte, NC 28204. The listed phone number is (704) 362-4403.

What is Ben Ogunwale's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ben Ogunwale enrolled in Medicare?

Yes. Ben Ogunwale 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 Ben Ogunwale accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Ben Ogunwale 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 Ben Ogunwale affiliated with any hospitals?

According to CMS data, Ben Ogunwale is affiliated with Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Ben Ogunwale was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.