BENJAMIN KUMOR M.D.
NPI 1043445141
Family Medicine - Adult Medicine in Dubuque, IA
About Benjamin Kumor M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN KUMOR M.D. (NPI 1043445141) is an individual adult medicine provider in Dubuque, Iowa, licensed in Iowa (42572) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Mercyone Dubuque Medical Center, and is a graduate of Ohio State University College Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses
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
Benjamin Kumor M.d. 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.
Areas of Expertise CMS Part B claims 42
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercyone Dubuque Medical Center
Acute Care Hospitals · Dubuque, IAFinley Hospital
Acute Care Hospitals · Dubuque, IAGuttenberg Municipal Hospital
Critical Access Hospitals · Guttenberg, IAJackson County Regional Health Center
Critical Access Hospitals · Maquoketa, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 17
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Kumor's NPI number?
The NPI number for Benjamin Kumor is 1043445141. It was assigned to this individual provider in the NPPES registry on May 19, 2009.
Where is Benjamin Kumor located?
Benjamin Kumor practices at 1515 Delhi St Suite 100, Dubuque, IA 52001. The listed phone number is (563) 557-9111.
What is Benjamin Kumor's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Benjamin Kumor enrolled in Medicare?
Yes. Benjamin Kumor 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 Kumor 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 2 other insurers list Benjamin Kumor 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 Kumor affiliated with any hospitals?
According to CMS data, Benjamin Kumor is affiliated with Mercyone Dubuque Medical Center, Finley Hospital, Guttenberg Municipal Hospital and Jackson County Regional Health Center.
When was this NPI record last updated?
The NPPES record for Benjamin Kumor was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.