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DR. BENJAMIN MEMMOTT DO
NPI 1043895691
Radiology - Diagnostic Radiology in Fort Leonard Wood, MO

Active since March 16, 2021PECOS EnrolledAccepts Medicare Assignment
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473(573) 596-0029 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2026, Aug 7, 2026, Sep 3, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Benjamin Memmott Do NPPES

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

DR. BENJAMIN MEMMOTT DO (NPI 1043895691) is an individual diagnostic radiology provider in Fort Leonard Wood, Missouri, licensed in Missouri (2026033961) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Danbury, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043895691
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BENJAMIN MEMMOTTCredential: DO
Location Address4234 ILLINOIS AVEFort Leonard Wood, MO 65473-9098
Mailing Address4234 Illinois AveFort Leonard Wood, MO 65473-9098 · (573) 596-0029
Phone(573) 596-0029
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 16, 2021
Last NPPES UpdateAugust 19, 20264 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1043895691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MO · 2026033961✔ Licensed in CT · 85894✔ Licensed in KY · 06392
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License T9745 (TX)
4234 ILLINOIS AVE, Fort Leonard Wood, MO 65473
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Riverview Dr Ste 104Danbury, CT 06810-4211 · Phone (203) 426-3002

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

Dr. Benjamin Memmott 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 ID2567642861
PECOS Enrollment IDI20260807003044
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

10

Medicare enrollment records show Benjamin Memmott reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
396 mi
Internal Medicine
1001 LEAWOOD DR
Frankfort, KY 40601
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1629740774 (502) 223-0231
Sheridan Community Hospital
498 mi
Foot and Ankle Surgery
1525 E BELTLINE AVE NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 85 clinicians in this Medicare group
NPI 1285588442 (989) 291-6304
Northside Radiology Associates LLC
510 mi
Diagnostic Radiology
1000 JOHNSON FERRY RD
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia and Missouri enrollments
  • 241 clinicians in this Medicare group
NPI 1013960657 (404) 662-2438
Imaging Associates Of Michigan PLLC
652 mi
Diagnostic Radiology
850 W BARAGA AVE
Marquette, MI 49855
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1164943007 (906) 214-2900
Point Basics LLC
667 mi
Family Medicine
3021 HESS BLVD
Selma, TX 78154
  • Reassigned Medicare billing, Texas enrollment
NPI 1255123774 (801) 350-1111
Radiology Affiliates Of Central New Jersey PC
953 mi
Diagnostic Radiology
2501 KUSER RD
Hamilton, NJ 08691
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1811994791 (609) 585-8800
Premier Imaging LLC
1,024 mi
Diagnostic Radiology
34 MAPLE ST
Norwalk, CT 06850
  • Reassigned Medicare billing, Connecticut enrollment
  • 60 clinicians in this Medicare group
NPI 1760087027 (203) 426-3002
Empire State Radiology P C
1,028 mi
Diagnostic Radiology
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, Missouri and New York enrollments
  • 2 clinicians in this Medicare group
NPI 1255962783 (718) 223-4685
Danbury Radiological Associates, PC
1,028 mi
Diagnostic Radiology
24 HOSPITAL AVE
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 39 clinicians in this Medicare group
NPI 1639164106 (203) 739-7532
Telehealth Clinical Evals LLC
1,284 mi
Clinic/Center
9505 HILLWOOD DR
Las Vegas, NV 89134
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1346868387 (725) 209-3053

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

Areas of Expertise CMS Part B claims 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
556 services556 patients
Evaluation for wheelchair, each 15 minutes 97542
This procedure involves assessing your physical needs and capabilities to determine the most suitable wheelchair for you. It takes into account your comfort, mobility, and lifestyle requirements. Each session lasts 15 minutes.
542 services279 patients
Physician service required to establish and document the need for a power mobility device G0372
This service involves your doctor assessing your mobility needs. They'll document your condition, verify if a power mobility device (like a motorized wheelchair) could improve your life quality, and provide the required medical records to insurance for coverage.
181 services181 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65473 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

DARRIN ALEXANDER MSW
Social Worker
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
BENJAMIN DAVID CRUMLEY DO
Obstetrics & Gynecology
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1490
DR. JOSHUA R MIHALCIN DO
Emergency Medicine
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
SHRIYA RUPAREL
Optometrist
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0048
MELISSA KAY CLIFT OTR
Occupational Therapist (Hand)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-9453
CALLIE JUHAS
Occupational Therapist
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0035
STEPHEN LINDSEY DUNAWAY LCSW
Social Worker (Clinical)
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-0522
SHAYLA AMOS MD
Family Medicine
4234 ILLINOIS AVE
FORT LEONARD WOOD, MO 65473
Pulaski County (573) 596-1765

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 Memmott's NPI number?

The NPI number for Benjamin Memmott is 1043895691. It was assigned to this individual provider in the NPPES registry on March 16, 2021.

Where is Benjamin Memmott located?

Benjamin Memmott practices at 4234 Illinois Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0029.

What is Benjamin Memmott's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Benjamin Memmott enrolled in Medicare?

Yes. Benjamin Memmott 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 Memmott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Memmott reassigns Medicare benefits to 10 organizations: Baptist Health Medical Group Inc (Frankfort, KY), Sheridan Community Hospital (Grand Rapids, MI), Northside Radiology Associates LLC (Atlanta, GA), Imaging Associates Of Michigan PLLC (Marquette, MI), Point Basics LLC (Selma, TX) and 5 more organizations, listed in the Medicare section above. 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 Memmott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Memmott was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.