BENJAMIN PAUL DO
NPI 1023544707
Family Medicine in Humboldt, IA

Active since May 02, 2017PECOS EnrolledAccepts Medicare Assignment
1000 15TH ST N, HUMBOLDT, IA 50548(515) 332-2015 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Benjamin Paul Do NPPES

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

BENJAMIN PAUL DO (NPI 1023544707) is an individual family medicine provider in Humboldt, Iowa, licensed in Iowa (DO-05539) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2017).

NPPES Registry Identity

NPI1023544707
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN PAULCredential: DO
Location Address1000 15TH ST NHumboldt, IA 50548-1008
Mailing Address1000 15th St NHumboldt, IA 50548-1008 · (515) 332-2015
Sole ProprietorYes
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2017
Enumeration DateMay 2, 2017
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1023544707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IA · DO-05539✔ Licensed in MN · 64549
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 15TH ST N, Humboldt, IA 50548

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Paul 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 ID1850661141
PECOS Enrollment IDI20201005002627
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Benjamin Paul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1000 15TH ST N
Humboldt, IA 50548
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1194702977 (Iowa)
  • 42 clinicians in this Medicare group
Sleep Disorder Diagnostic
804 KENYON RD, STE 160A
Fort Dodge, IA 50501
  • Reassigned Medicare billing, Iowa enrollment
  • 387 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Humboldt County Memorial Hospital

Critical Access Hospitals · Humboldt, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161334
Location1000 North 15th StreetHumboldt, IA 50548 · Humboldt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50548 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 19

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

Emergency Medicine
1000 15TH ST N
HUMBOLDT, IA 50548
General Acute Care Hospital (Critical Access)
1000 15TH ST N
HUMBOLDT, IA 50548
Medicare Defined Swing Bed Unit
1000 15TH ST N
HUMBOLDT, IA 50548
Registered Nurse (Diabetes Educator)
1000 15TH ST N
HUMBOLDT, IA 50548
Registered Nurse (Diabetes Educator)
1000 15TH ST N
HUMBOLDT, IA 50548
Dietitian, Registered
1000 15TH ST N
HUMBOLDT, IA 50548
Counselor (Mental Health)
1000 15TH ST N
HUMBOLDT, IA 50548
Nurse Practitioner
1000 15TH ST N
HUMBOLDT, IA 50548

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 Paul's NPI number?

The NPI number for Benjamin Paul is 1023544707. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Benjamin Paul located?

Benjamin Paul practices at 1000 15th St N, Humboldt, IA 50548. The listed phone number is (515) 332-2015.

What is Benjamin Paul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Paul enrolled in Medicare?

Yes. Benjamin Paul 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.

Which organizations bill Medicare for Benjamin Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Paul reassigns Medicare benefits to 2 organizations: Humboldt County Memorial Hospital (Humboldt, IA) and Trinity Regional Medical Center (Fort Dodge, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Paul accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Benjamin Paul 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 Paul affiliated with any hospitals?

According to CMS data, Benjamin Paul is affiliated with Trinity Regional Medical Center and Humboldt County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Paul was last updated on January 17, 2024. 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.