DR. BENJAMIN J COPELAND M.D.
NPI 1114084548
Otolaryngology in Indianapolis, IN

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
37.77/100
CMS Quality Rating
5255 E STOP 11 RD STE 400, INDIANAPOLIS, IN 46237(317) 528-6640(317) 528-6650 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Mar 4, 2026, Jun 21, 2024 and 1 more (4 updates tracked since 2021).

About Dr. Benjamin J Copeland M.d. NPPES

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

DR. BENJAMIN J COPELAND M.D. (NPI 1114084548) is an individual otolaryngology provider in Indianapolis, Indiana, licensed in Indiana (01057353A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Hancock Regional Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1114084548
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BENJAMIN J COPELANDCredential: M.D.
Location Address5255 E STOP 11 RD STE 400Indianapolis, IN 46237-6341
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(317) 528-6650
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1997
Enumeration DateJanuary 3, 2007
Last NPPES UpdateApril 3, 20264 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1114084548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IN · 01057353A
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5255 E STOP 11 RD STE 400, Indianapolis, IN 46237

Secondary Practice Location 1

Location 15255 E Stop 11 Rd Ste 400Indianapolis, IN 46237-6341 · Phone (317) 844-7059 · Fax (317) 819-0044

Other Identifiers 2

Medicaid200451570IN
OtherP00077357IN · Medicare Railroad

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

Dr. Benjamin J Copeland 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.

PECOS PAC ID9133264518
PECOS Enrollment IDI20100310000321
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 11

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
593 services30 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
207 services147 patients
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.
174 services138 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.
146 services124 patients
Incision of fluid canal of inner ear with infusion of drugs 69801
This procedure involves making a small cut in the inner ear's fluid canal. Medication is then infused directly into this area. It's often used to treat certain ear conditions or hearing issues. Rest assured, it's done under professional supervision.
73 services21 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.
70 services70 patients

Hospital Affiliations CMS Care Compare 5

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

Hancock Regional Hospital

Acute Care Hospitals · Greenfield, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150037
Location801 N State StGreenfield, IN 46140 · Hancock County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

37.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality35
Promoting Interoperability0
Improvement Activities0
Cost90.91

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.

Otolaryngology
5255 E STOP 11 RD STE 400
INDIANAPOLIS, IN 46237
Otolaryngology
5255 E STOP 11 RD STE 400
INDIANAPOLIS, IN 46237
Otolaryngology
5255 E STOP 11 RD STE 400
INDIANAPOLIS, IN 46237
Otolaryngology
5255 E STOP 11 RD STE 400
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 400
INDIANAPOLIS, IN 46237
Audiologist
5255 E STOP 11 RD STE 400
INDIANAPOLIS, IN 46237
Audiologist
5255 E STOP 11 RD STE 400
INDIANAPOLIS, IN 46237
Audiologist
5255 E STOP 11 RD STE 400
INDIANAPOLIS, IN 46237

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 Copeland's NPI number?

The NPI number for Benjamin Copeland is 1114084548. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Benjamin Copeland located?

Benjamin Copeland practices at 5255 E Stop 11 Rd Ste 400, Indianapolis, IN 46237. The listed phone number is (317) 528-6640.

What is Benjamin Copeland's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Benjamin Copeland enrolled in Medicare?

Yes. Benjamin Copeland 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 Copeland accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Benjamin Copeland 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 Copeland affiliated with any hospitals?

According to CMS data, Benjamin Copeland is affiliated with Hancock Regional Hospital, Indiana University Health, Ascension St Vincent Hospital, Community Hospital South, Inc. and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Benjamin Copeland was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.