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DR. BENJAMIN DAVID ACTON DO
NPI 1013409903
Surgery in Silvis, IL

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
28.55/100
CMS Quality Rating
855 ILLINI DR STE 304, SILVIS, IL 61282(309) 281-2120(309) 281-2129 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin David Acton Do NPPES

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

DR. BENJAMIN DAVID ACTON DO (NPI 1013409903) is an individual surgery provider in Silvis, Illinois, licensed in Nebraska (8293) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville.

NPPES Registry Identity

NPI1013409903
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BENJAMIN DAVID ACTONCredential: DO
Location Address855 ILLINI DR STE 304Silvis, IL 61282-2904
Mailing Address855 Illini Dr Ste 304Silvis, IL 61282-2904 · (309) 281-2120 · Fax (309) 281-2129
Phone(309) 281-2120
Fax(309) 281-2129
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, Kirksville
Enumeration DateJune 5, 2018
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1013409903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NE · 8293
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
855 ILLINI DR STE 304, Silvis, IL 61282
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Dr. Benjamin David Acton Do 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 ID6002166717
PECOS Enrollment IDI20230809003450, I20230822002585
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 3

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 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.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140275
Location801 Illini DrSilvis, IL 61282 · Rock Island County
Emergency services Birthing friendly

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160080
Location1410 North 4th StreetClinton, IA 52732 · Clinton County
Emergency services Birthing friendly

Jackson County Regional Health Center

Critical Access Hospitals · Maquoketa, IA
OwnershipGovernment - Local
CMS Certification Number161329
Location700 W Grove StMaquoketa, IA 52060 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61282 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

28.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.38
Improvement Activities0
Cost55.97

Other Providers at the Same Location NPPES 3

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

ANDREW F PHILIP M.D.
Surgery
855 ILLINI DR STE 304
SILVIS, IL 61282
Rock Island County (309) 281-2120
BRITTNEY N HUGHES ARNP
Nurse Practitioner (Family)
855 ILLINI DR STE 304
SILVIS, IL 61282
Rock Island County (309) 281-2120
BROOKE ERIN SMITH ARNP
Nurse Practitioner (Family)
855 ILLINI DR STE 304
SILVIS, IL 61282
Rock Island County (309) 281-2120

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 Acton's NPI number?

The NPI number for Benjamin Acton is 1013409903. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Benjamin Acton located?

Benjamin Acton practices at 855 Illini Dr Ste 304, Silvis, IL 61282. The listed phone number is (309) 281-2120.

What is Benjamin Acton's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Benjamin Acton enrolled in Medicare?

Yes. Benjamin Acton 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 Acton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Benjamin Acton 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 Benjamin Acton affiliated with any hospitals?

According to CMS data, Benjamin Acton is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini, Mercyone Clinton Medical Center and Jackson County Regional Health Center.

When was this NPI record last updated?

The NPPES record for Benjamin Acton was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.