BEN MILLER MEARES JR. MD
NPI 1134158280
Pediatrics in Raleigh, NC

NPI Status: Active since July 01, 2006

Contact Information

2800 BLUE RIDGE RD
SUITE 401
RALEIGH, NC
ZIP 27607
Phone: (919) 781-7490

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  • Individual
  • Male
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About BEN MEARES

This page provides the complete NPI Profile along with additional information for Ben Meares, a pediatrician established in Raleigh, North Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1134158280 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number 2002-00413 (NC). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1134158280
Provider Name
BEN MILLER MEARES JR. MD
Gender
Male
Entity Type
Individual
Location Address
2800 BLUE RIDGE RD SUITE 401 RALEIGH, NC 27607
Location Phone
(919) 781-7490
Mailing Address
3100 DURALEIGH RD STE 300 RALEIGH, NC 27612
Mailing Phone
(919) 781-7490
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
07-01-2006
Last Update Date
06-13-2018
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A pediatrician like Ben Meares is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
2002-00413
License State
NC
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
891314AMEDICAID (05)NC 
1314AOTHER (01)BCBS

Medicare Participation & PECOS Enrollment Status

Ben Meares is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27607 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.9
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $20.97
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.94
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $23.98
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for BEN MILLER MEARES JR. MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134158280
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21642516216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 5 + 1 + 6 + 2 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134158280 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255335147DR. WOODWARD CANNON MD
Individual
Surgery2800 BLUE RIDGE RD STE 503
RALEIGH, NC 27607
(919) 782-8210
1982608816DR. RICHARD ALLEN CHIULLI MD
Individual
Surgery2800 BLUE RIDGE RD STE 503
RALEIGH, NC 27607
(919) 782-8210
1194729020DR. DANIEL ROBERT VIG MD
Individual
Surgery2800 BLUE RIDGE RD STE 503
RALEIGH, NC 27607
(919) 782-8210
1831193424DR. GEORGE WASHINGTON PASCHAL III MD
Individual
Surgery2800 BLUE RIDGE RD STE 503
RALEIGH, NC 27607
(919) 782-8210
1144225087DR. THOMAS WILBUR MADDOX MD
Individual
Surgery2800 BLUE RIDGE RD STE 503
RALEIGH, NC 27607
(919) 782-8210
1366406118DR. MARJORIE ELEANOR MEROD M.D.
Individual
Obstetrics & Gynecology (Gynecology)2800 BLUE RIDGE RD
RALEIGH, NC 27607
(919) 571-8304
1033164421CAROLINA CARDIOVASCULAR HEALTH & FITNESS, PA
Organization
Internal Medicine (Cardiovascular Disease)2800 BLUE RIDGE RD SUITE 403
RALEIGH, NC 27607
(919) 232-0050
1447289046 MARJORIE BARNWELL CARR MD
Individual
Pediatrics2800 BLUE RIDGE RD SUITE 401
RALEIGH, NC 27607
(919) 781-7490
1003095001 SARAH OWREY M.D.
Individual
Pediatrics2800 BLUE RIDGE RD SUITE 401
RALEIGH, NC 27607
(919) 781-7490
1881829018REX PHYSICIANS LLC
Organization
Surgery2800 BLUE RIDGE RD SUITE 503
RALEIGH, NC 27607
(919) 782-8210
1457621765REX PHYSICIANS LLC
Organization
Surgery (Vascular Surgery)2800 BLUE RIDGE RD SUITE 300
RALEIGH, NC 27607
(919) 784-8346
1811237522DR. REBECCA SEXTON SASSER PHARMD
Individual
Pharmacist (Pharmacotherapy)2800 BLUE RIDGE RD SUITE 550
RALEIGH, NC 27607
(919) 787-5380
1275768236DR. JENNIFER LYNN ROCHETTE LONG MD
Individual
Pediatrics2800 BLUE RIDGE RD SUITE 401
RALEIGH, NC 27607
(919) 781-7490
1316159429 ROSS GOLDBAUM PA-C
Individual
Physician Assistant2800 BLUE RIDGE RD SUITE 201
RALEIGH, NC 27607
(919) 784-5650
1255720801 KAREN MONGER
Individual
Nurse Practitioner (Family)2800 BLUE RIDGE RD SUITE 204
RALEIGH, NC 27607
(919) 784-7460
1336598952 MELISSA JENNINGS LUNSFORD NP-C
Individual
Nurse Practitioner (Family)2800 BLUE RIDGE RD SUITE 300
RALEIGH, NC 27607
(919) 784-7874
1134614050 SHANNON DOROTHY COUTURE NP-C
Individual
Nurse Practitioner (Primary Care)2800 BLUE RIDGE RD
RALEIGH, NC 27607
(919) 787-5380
1407889066CAPITAL SURGICAL ASSOCIATES PA
Organization
Specialist2800 BLUE RIDGE RD SUITE 201
RALEIGH, NC 27607
(919) 420-5000
1942413182THE VEIN TREATMENT CENTER, PA
Organization
Specialist2800 BLUE RIDGE RD SUITE 500
RALEIGH, NC 27607
(919) 235-3400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134158280, enumerated in the NPI registry as an "individual" on July 01, 2006

The provider is located at 2800 Blue Ridge Rd Suite 401 Raleigh, Nc 27607 and the phone number is (919) 781-7490

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.