DON MICHAEL BENSON MD
NPI 1003862236
Internal Medicine - Hematology in Columbus, OH

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-3196(614) 293-4812 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Don Michael Benson Md NPPES

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

DON MICHAEL BENSON MD (NPI 1003862236) is an individual hematology provider in Columbus, Ohio, licensed in Ohio (35.083204) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Northeastern Ohio University College Of Medicine (1999).

NPPES Registry Identity

NPI1003862236
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDON MICHAEL BENSONCredential: MD
Location Address460 W 10TH AVEColumbus, OH 43210-1240
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3196 · Fax (614) 293-4812
Fax(614) 293-4812
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1999
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
NPI 1003862236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in OH · 35.083204
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
460 W 10TH AVE, Columbus, OH 43210

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

Don Michael Benson 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 ID1254349426
PECOS Enrollment IDI20060627000125
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 7

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.
204 services125 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.
178 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
31 services13 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
22 services19 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cyclophosphamide; oral, 25 mg J8530
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier13 claims564 services$0.66 avg. paid by Medicare
Melphalan; oral, 2 mg J8600
Treatment-Chemotherapy · category RH002N
3 suppliers11 claims186 services$7.65 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers21 claims21 services$18.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hospice and Palliative Medicine)
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hematology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner (Family)
460 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210

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 Don Benson's NPI number?

The NPI number for Don Benson is 1003862236. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Don Benson located?

Don Benson practices at 460 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-3196.

What is Don Benson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Don Benson enrolled in Medicare?

Yes. Don Benson 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 Don Benson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Don Benson 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 Don Benson affiliated with any hospitals?

According to CMS data, Don Benson is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Don Benson was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.