DR. KEITH WILKINSON BENNERT MD NPI 1932175163

Pathology (Anatomic Pathology & Clinical Pathology) in New Bern, NC

NPI 1932175163 Individual Male Years of Experience 33 Pathology Anatomic Pathology & Clinical Pathology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About KEITH BENNERT

Keith Bennert is a provider established in New Bern, North Carolina and his medical specialization is pathology (anatomic pathology & clinical pathology) with more than 33 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1988. The NPI number of Keith Bennert is 1932175163 and was assigned on February 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 36652 (NC). The provider is registered as an individual and his NPI record was last updated 13 years ago.

Keith Bennert is enrolled in PECOS and is eligible to order or refer healthcare 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

Keith Bennert is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Carolina East Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: quantitative immunohistochemical (ihc) evaluation of human epidermal growth factor receptor 2 testing (her2) for breast cancer patients. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1932175163

Provider NameDR. KEITH WILKINSON BENNERT MD
Provider Location Address2000 NEUSE BLVD NEW BERN, NC 28560
Provider Mailing AddressPO BOX 100559 FLORENCE, SC 29501
GenderMale
NPI Entity TypeIndividual
Medical School NameCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year1988
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-27-2006
Last Update Date01-15-2008


Primary Taxonomy

Taxonomy Code207ZP0102X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology & Clinical Pathology
License No.36652
License StateNC
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Business Address

DR. KEITH WILKINSON BENNERT MD
2000 NEUSE BLVD
NEW BERN, NC
ZIP 28560
Phone: (252) 637-9298
Fax: (252) 633-8941

Get Directions


Mailing Address

DR. KEITH WILKINSON BENNERT MD
PO BOX 100559
FLORENCE, SC
ZIP 29501
Phone: (843) 664-4300
Fax: (843) 664-4308



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5799834255
PECOS Enrollment IDI20100327000168
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1830Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • 216Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • 61Special stained specimen slides to examine tissue (HCPCS:88341)
  • 28Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • 23Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients 100% 39
This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2 Testing in breast cancer

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Keith Bennert is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CAROLINA EAST MEDICAL CENTER2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640Acute Care Hospitals340131

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology36652NCNo

Taxonomy Description: a cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F55503MEDICARE UPIN (02)
01078OTHER (01)
2185664MEDICARE PIN (08)NC
8914895MEDICAID (05)NC

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265425391 KAI MIAO MD
Individual
Hospitalist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8000
1245223197 MILLARD F BANKER IV MD
Individual
Hospitalist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8000
1043285349DR. ROBERT BARTHOLOMEW NEWELL JR. MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-7298
1376519512CRAVEN PATHOLOGY ASSOCIATES INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-9298
1750357778DR. RICHARD MAYHEW WARD MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 637-9298
1780641373CAROLINAEAST MEDICAL CENTER
Organization
Rehabilitation Unit2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1609833201CAROLINAEAST MEDICAL CENTER
Organization
Psychiatric Unit2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1659326643MRS. VAUGHNA BRINSON GALVIN CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1598704009COASTAL CAROLINA HEALTH CARE PA
Organization
Hospitalist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 514-2061
1154362960MRS. LOREEN ELIZABETH AIKEN CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1629012158MR. STEPHEN R DURCI CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1962446518 CYNTHIA M BOJONELL CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1285679472 MICHELLE KAY BAULCH OTR/L, CHT, CFCE
Individual
Occupational Therapist2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8020
1962448027CAROLINAEAST MEDICAL CENTER
Organization
Specialist/Technologist Cardiovascular2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1710923875CAROLINAEAST MEDICAL CENTER
Organization
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1427084680CAROLINAEAST MEDICAL CENTER
Organization
Prosthetic/Orthotic Supplier2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1326074980 THEA M IOVALE CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1306875760MR. MICHAEL IOVALE CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640
1477583615DR. RONALD B MAY M.D.
Individual
Pediatrics2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8045
1104856988 REBECCA E MARSON CRNA
Individual
Nurse Anesthetist, Certified Registered2000 NEUSE BLVD
NEW BERN, NC 28560
(252) 633-8640

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.