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DR. BENJAMIN DANIEL WHITFIELD D.O. M.S.W.
NPI 1114468444
Family Medicine in Johnson City, TN

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
917 W WALNUT ST, JOHNSON CITY, TN 37604(423) 439-6464 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2020, Mar 20, 2017 (2 updates tracked since 2017).

About Dr. Benjamin Daniel Whitfield D.o. M.s.w. NPPES

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

DR. BENJAMIN DANIEL WHITFIELD D.O. M.S.W. (NPI 1114468444) is an individual family medicine provider in Johnson City, Tennessee, licensed in Tennessee (3556) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114468444
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BENJAMIN DANIEL WHITFIELDCredential: D.O. M.S.W.
Location Address917 W WALNUT STJohnson City, TN 37604-6527
Mailing AddressPo Box 699Mountain Home, TN 37684-0699
Phone(423) 439-6464
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 20, 2017
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1114468444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 3556
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.
917 W WALNUT ST, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1102 E Ravine RdKingsport, TN 37660-3814 · Phone (423) 245-9600
Location 2208 Medical Park BlvdBristol, TN 37620-7343 · Phone (423) 989-4050 · Fax (423) 990-3044
Location 3301 Med Tech Pkwy Ste 120Johnson City, TN 37604-2631 · Phone (423) 794-5590 · Fax (423) 794-5877
Location 4444 Clinchfield St Ste 202Kingsport, TN 37660-3863 · Phone (423) 723-2850 · Fax (423) 723-2851

Other Identifiers 1

MedicaidQ042575TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Dr. Benjamin Daniel Whitfield D.o. M.s.w. 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 ID9739451410
PECOS Enrollment IDI20190304002460, I20260622000986
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

6

Medicare enrollment records show Benjamin Whitfield reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
0.9 mi
Trauma Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1093016024 (423) 431-2477
Wellmont Medical Associates, Inc.
2.7 mi
Psychiatry
701 MED TECH PKWY STE 200
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1275393522 (423) 302-3480
Integrated Health Transitions, PLLC
4.3 mi
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group
NPI 1922463470 (423) 926-2358
Renuven Aco PLLC
4.3 mi
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group
NPI 1568209872 (423) 926-2358
State Of Franklin Healthcare Associates PLLC
6.2 mi
Internal Medicine
121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615
  • Reassigned Medicare billing, Tennessee enrollment
  • 357 clinicians in this Medicare group
NPI 1063459410 (423) 794-5500
St. Vincent Hospital
1,292 mi
Surgery
1213 GUSDORF ROAD
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group
NPI 1265790216 (505) 913-3490

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
103 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
46 services40 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.
17 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

NIKITA MARIE THOMPSON
Social Worker (Clinical)
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
SALLY ELIZABETH CHIKOMB
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
MEDICAL EDUCATION ASSISTANCE CORPORATION
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
AUSTIN B HASH DO
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
LUKE STANLEY
Student in an Organized Health Care Education/Training Program
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-7118
DR. PAIGE MCCLEAR DO
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
JIM L WILSON M.D.
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464
JOYCE ANNE TROXLER MD
Family Medicine
917 W WALNUT ST
JOHNSON CITY, TN 37604
Washington County (423) 439-6464

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 Whitfield's NPI number?

The NPI number for Benjamin Whitfield is 1114468444. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Benjamin Whitfield located?

Benjamin Whitfield practices at 917 W Walnut St, Johnson City, TN 37604. The listed phone number is (423) 439-6464.

What is Benjamin Whitfield's specialty?

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

Is Benjamin Whitfield enrolled in Medicare?

Yes. Benjamin Whitfield 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 Whitfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Whitfield reassigns Medicare benefits to 6 organizations: Blue Ridge Medical Management Corporation (Johnson City, TN), Wellmont Medical Associates, Inc. (Johnson City, TN), Integrated Health Transitions, PLLC (Johnson City, TN), Renuven Aco PLLC (Johnson City, TN), State Of Franklin Healthcare Associates PLLC (Johnson City, TN) and 1 more organization, 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 Whitfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Whitfield accept?

Health plans from Cigna Healthcare list Benjamin Whitfield 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 Whitfield affiliated with any hospitals?

According to CMS data, Benjamin Whitfield is affiliated with Christus St Vincent Regional Medical Center and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Whitfield was last updated on March 22, 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.