DR. BENJAMIN REED NETTLETON D.O.
NPI 1164698932
Family Medicine in Port St John, FL

Q: What is Benjamin Nettleton's NPI number?

The NPI number for Benjamin Nettleton is 1164698932. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Q: What is Benjamin Nettleton's specialty?

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

Active since May 01, 2008PECOS Enrolled

5005 PORT ST JOHN PKWY, SUITE 2500, PORT ST JOHN, FL 32927(321) 504-0556(321) 504-0773 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Benjamin Reed Nettleton D.o. NPPES

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

DR. BENJAMIN REED NETTLETON D.O. (NPI 1164698932) is an individual family medicine provider in Port St John, Florida, licensed in Florida (OS13715) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164698932

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BENJAMIN REED NETTLETONCredential: D.O.

Location Address5005 PORT ST JOHN PKWY, SUITE 2500Port St John, FL 32927-4305

Mailing Address805 Century Medical Dr, Credentialing OfficeTitusville, FL 32796-2100 · (321) 268-6264 · Fax (321) 268-6273

Phone(321) 504-0556

Fax(321) 504-0773

Sole ProprietorNo

Enumeration DateMay 1, 2008

Last NPPES UpdateJanuary 4, 2017

✔ NPI 1164698932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · OS13715✔ Licensed in WA · OP0077518✔ Licensed in PA · OT011289

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.

5005 PORT ST JOHN PKWY, Port St John, FL 32927

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Other Identifiers 5

Medicaid019231000FL

Medicare PIN8891625WA

Medicaid8544645WA

Medicare PINIT729ZFL

Other249449WA · Labor & Industries

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Reed Nettleton D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32927 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$18.25 avg. paid by Medicare

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims2,600 services$0.09 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier13 claims13 services$7.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

VICTORIA E SCUDERI PTA

Physical Therapy Assistant

5005 PORT ST JOHN PKWY
COCOA, FL 32927

Brevard County (321) 633-8660

DR. STEVEN LANCE HOLMES M.D.

General Practice

5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927

Brevard County (321) 633-8640

KETSIA CELESTIN LOUIS M.D.

Family Medicine

5005 PORT ST JOHN PKWY
COCOA, FL 32927

Brevard County (321) 504-0556

SHIVANI MITRA MD

Pediatrics

5005 PORT ST JOHN PKWY, 2500
PORT ST JOHN, FL 32927

Brevard County (321) 690-0164

YU-WEN CHANG OTR/L

Occupational Therapist

5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927

Brevard County (321) 636-9393

KEYSHA BROWN APRN

Registered Nurse (General Practice)

5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927

Brevard County (321) 633-8620

DR. EUGENE H GO M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

5005 PORT ST JOHN PKWY, SUITE 2600
PORT ST JOHN, FL 32927

Brevard County (321) 504-7375

FLAVIA LORENA ORTIZ

Nurse Practitioner (Family)

5005 PORT ST JOHN PKWY
PORT ST JOHN, FL 32927

Brevard County (321) 633-8620

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 Nettleton's NPI number?

The NPI number for Benjamin Nettleton is 1164698932. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Benjamin Nettleton located?

Benjamin Nettleton practices at 5005 Port St John Pkwy Suite 2500, Port St John, FL 32927. The listed phone number is (321) 504-0556.

What is Benjamin Nettleton's specialty?

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

Is Benjamin Nettleton enrolled in Medicare?

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

What insurance does Benjamin Nettleton accept?

Health plans from Providence Health Plan list Benjamin Nettleton 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 Nettleton was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.