BENJAMIN MOTLEY MD
NPI 1154703072
Neurological Surgery in Cincinnati, OH

Active since June 27, 2015PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
3113 BELLEVUE AVE, CINCINNATI, OH 45219(513) 475-8990(513) 475-8577 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2022, Jun 24, 2016 (2 updates tracked since 2016).

About Benjamin Motley Md NPPES

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

BENJAMIN MOTLEY MD (NPI 1154703072) is an individual neurological surgery provider in Cincinnati, Ohio, licensed in Ohio (35.143854) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154703072
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameBENJAMIN MOTLEYCredential: MD
Location Address3113 BELLEVUE AVECincinnati, OH 45219-3158
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672
Fax(513) 475-8577
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 27, 2015
Last NPPES UpdateJanuary 11, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
NPI 1154703072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in OH · 35.143854 Licensed in KY · R3850
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3113 BELLEVUE AVE, Cincinnati, OH 45219

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 Motley Md 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 ID42507774
PECOS Enrollment IDI20220518001886, I20240403000300
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 5

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.

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.
46 services32 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.
44 services36 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.
43 services43 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services21 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.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Nurse Practitioner
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Practitioner
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3113 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Practitioner (Family)
3113 BELLEVUE AVE
CINCINNATI, OH 45219

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 Motley's NPI number?

The NPI number for Benjamin Motley is 1154703072. It was assigned to this individual provider in the NPPES registry on June 27, 2015.

Where is Benjamin Motley located?

Benjamin Motley practices at 3113 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8990.

What is Benjamin Motley's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Benjamin Motley enrolled in Medicare?

Yes. Benjamin Motley 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 Motley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Benjamin Motley 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 Motley affiliated with any hospitals?

According to CMS data, Benjamin Motley is affiliated with Mercy Health-Anderson Hospital, University Of Cincinnati Medical Center, LLC, Mercy Health - Fairfield Hospital, Christ Hospital and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Motley was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.