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DR. BENJAMIN FREEMAN M.D.
NPI 1154528768
Pediatrics in Hazard, KY

Active since June 27, 2007PECOS Enrolled
101 TOWN AND COUNTRY LN, HAZARD, KY 41701(606) 439-1300(606) 439-1400 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2026, Feb 1, 2021, Sep 8, 2020 (3 updates tracked since 2020).

About Dr. Benjamin Freeman M.d. NPPES

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

DR. BENJAMIN FREEMAN M.D. (NPI 1154528768) is an individual pediatrics provider in Hazard, Kentucky, licensed in Kentucky (C5799) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154528768
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. BENJAMIN FREEMANCredential: M.D.
Location Address101 TOWN AND COUNTRY LNHazard, KY 41701-9524
Mailing AddressPo Box 1988Hazard, KY 41702-1988 · (606) 439-1300 · Fax (606) 439-1400
Phone(606) 439-1300
Fax(606) 439-1400
Sole ProprietorNo
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1154528768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KY · C5799✔ Licensed in GA · 84172✔ Licensed in AL · 42118
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
101 TOWN AND COUNTRY LN, Hazard, KY 41701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Freeman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Benjamin Freeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Highlands Professional Services
238 mi
Specialist
408 TAYLOR ST
Scottsboro, AL 35768
  • Reassigned Medicare billing, Alabama enrollment
  • 47 clinicians in this Medicare group
NPI 1750041786 (256) 218-3806

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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 20

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

KELSEY LOWE APRN
Nurse Practitioner (Psychiatric/Mental Health)
101 TOWN AND COUNTRY LN
HAZARD, KY 41701
Perry County (606) 439-1300
DHARMA COOK RN
Registered Nurse
101 TOWN AND COUNTRY LN
HAZARD, KY 41701
Perry County (606) 439-1600
DAVID PACE APRN
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN
HAZARD, KY 41701
Perry County (606) 439-1300
KASSIDY CORNETT APRN
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN
HAZARD, KY 41701
Perry County (606) 439-1300
LYNDCI MARIE CORNETT APRN
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN
HAZARD, KY 41701
Perry County (606) 439-1300
CRYSTAL D GIBSON PA C
Physician Assistant
101 TOWN AND COUNTRY LN, SUITE 100
HAZARD, KY 41701
Perry County (606) 439-1300
DELORIS ALICE SPARKMAN
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN
HAZARD, KY 41701
Perry County (606) 439-1300
ASHLEIGH KAITLYN NIDIFFER
Pharmacist
101 TOWN AND COUNTRY LN
HAZARD, KY 41701
Perry County (606) 435-0460

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 Freeman's NPI number?

The NPI number for Benjamin Freeman is 1154528768. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Benjamin Freeman located?

Benjamin Freeman practices at 101 Town And Country Ln, Hazard, KY 41701. The listed phone number is (606) 439-1300.

What is Benjamin Freeman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Benjamin Freeman enrolled in Medicare?

Yes. Benjamin Freeman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Freeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Freeman reassigns Medicare benefits to Highlands Professional Services (Scottsboro, AL). The 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 Freeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Freeman accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Benjamin Freeman 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.

When was this NPI record last updated?

The NPPES record for Benjamin Freeman was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.