BENJAMIN PEARCE
NPI 1932308699
Surgery - Vascular Surgery in Birmingham, AL

Q: What is Benjamin Pearce's NPI number?

The NPI number for Benjamin Pearce is 1932308699. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Benjamin Pearce's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Pearce was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment

96.24/100

CMS Quality Rating

1717 6TH AVE S, BIRMINGHAM, AL 35233(800) 822-8816 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Benjamin Pearce NPPES

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

BENJAMIN PEARCE (NPI 1932308699) is an individual vascular surgery provider in Birmingham, Alabama, licensed in Alabama (28114) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Duke University School Of Medicine (1995).

NPPES Registry Identity

NPI1932308699

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameBENJAMIN PEARCE

Location Address1717 6TH AVE SBirmingham, AL 35233-1801

Mailing Address1717 6th Ave SBirmingham, AL 35233-1801

Phone(800) 822-8816

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1995

Enumeration DateJuly 13, 2007

Last NPPES UpdateJune 28, 2023

✔ NPI 1932308699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in AL · 28114

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1717 6TH AVE S, Birmingham, AL 35233

Open in Google Maps ↗

Secondary Practice Location 1

Location 12000 6th Ave SBirmingham, AL 35233-2110 · Phone (205) 934-2003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Benjamin Pearce 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 ID9638223902

PECOS Enrollment IDI20121231000106

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 22

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, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

94 services86 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

69 services62 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

67 services60 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

35 services33 patients

New patient office or other outpatient visit, 45-59 minutes 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.

31 services31 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

31 services27 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

28 services23 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

24 services23 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

23 services21 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

21 services21 patients

Follow-up hospital inpatient care per day, typically 25 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services12 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

19 services18 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

19 services16 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

18 services18 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

14 services14 patients

Ultrasound of abdomen and pelvis artery and vein blood flow 93976

An ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.

14 services13 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

13 services13 patients

Initial hospital inpatient care per day, typically 30 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

12 services12 patients

New patient office or other outpatient visit, 45-59 minutes 99204

11 services11 patients

Initial hospital inpatient care per day, typically 50 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Leg revascularization (restoring blood flow) NAN01

Leg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.

0 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

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.

96.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.02

Promoting Interoperability

100

Improvement Activities

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.

MRS. CHERYL ANDERSON LANE NP-BC

Nurse Practitioner (Adult Health)

1717 6TH AVE S, SPAIN REHAB CENTER RM 156
BIRMINGHAM, AL 35233

Jefferson County (205) 934-2747

ELIZABETH JOY RICHARDSON PHD

Physical Medicine & Rehabilitation

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (205) 934-3450

GAYLE BENSON PT

Physical Therapist

1717 6TH AVE S, PHYSICAL THERAPY; ROOM R385
BIRMINGHAM, AL 35233

Jefferson County (205) 975-4922

AMANDA MACKINAW PTA

Physical Therapy Assistant

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (205) 975-4922

BRIAN JEFFREY KING P.T.

Physical Therapist

1717 6TH AVE S, R385
BIRMINGHAM, AL 35233

Jefferson County (205) 975-4922

ERIC DUTTON LPTA, CPO

Physical Therapy Assistant

1717 6TH AVE S, R385
BIRMINGHAM, AL 35233

Jefferson County (205) 975-4922

MRS. ELIZABETH THOMPSON

Physical Therapist

1717 6TH AVE S
BIRMINGHAM, AL 35233

Jefferson County (205) 975-4922

MRS. MISCHA R JONES OTR

Occupational Therapist (Driving and Community Mobility)

1717 6TH AVE S, SRC 286
BIRMINGHAM, AL 35233

Jefferson County (205) 934-4814

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 Benjamin Pearce's NPI number?

The NPI number for Benjamin Pearce is 1932308699. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Benjamin Pearce located?

Benjamin Pearce practices at 1717 6th Ave S, Birmingham, AL 35233. The listed phone number is (800) 822-8816.

What is Benjamin Pearce's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Benjamin Pearce enrolled in Medicare?

Yes. Benjamin Pearce 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 Benjamin Pearce accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Benjamin Pearce 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 Benjamin Pearce was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.