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JOSHUA M BENGE M.D.
NPI 1194920025
Family Medicine in Lakeside Park, KY

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
2300 CHAMBER CENTER DR, LAKESIDE PARK, KY 41017(859) 655-7040(859) 331-2021 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2024, Oct 9, 2018, Oct 5, 2018 and 1 more (4 updates tracked since 2015).

About Joshua M Benge M.d. NPPES

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

JOSHUA M BENGE M.D. (NPI 1194920025) is an individual family medicine provider in Lakeside Park, Kentucky, licensed in Kentucky (41949) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of University Of Kentucky College Of Medicine (2006).

NPPES Registry Identity

NPI1194920025
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSHUA M BENGECredential: M.D.
Location Address2300 CHAMBER CENTER DRLakeside Park, KY 41017-1686
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 635-9440 · Fax (859) 448-2622
Phone(859) 655-7040
Fax(859) 331-2021
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2006
Enumeration DateJune 20, 2007
Last NPPES UpdateApril 12, 20244 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1194920025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 41949
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.

2300 CHAMBER CENTER DR, Lakeside Park, KY 41017
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Other Identifiers 4

Medicaid3080946OH
Medicaid7100101940KY
OtherP00739058KY · Railroad Medicare
OtherP00847809KY · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Joshua M Benge 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 ID648323303
PECOS Enrollment IDI20090729000289
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
58 services27 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.
42 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
61%113 patients3/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 26 patients
100%32 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%118 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%184 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
45%124 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.02 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 12

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

ST. ELIZABETH PHYSICIANS
Specialist
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 344-5498
FRAGGE ALLERGY & ASTHMA CLINICS PSC
Internal Medicine (Allergy & Immunology)
2300 CHAMBER CENTER DR, SUITE 102
LAKESIDE PARK, KY 41017
Kenton County (859) 371-3797
ROBERT LEE BAKER MD
Family Medicine
2300 CHAMBER CENTER DR, SUITE 100
FORT MITCHELL, KY 41017
Kenton County (859) 341-3114
JEFFREY J BLAU MD
Family Medicine
2300 CHAMBER CENTER DR
FORT MITCHELL, KY 41017
Kenton County (859) 341-3114
MS. RACHAEL HINE PA
Physician Assistant
2300 CHAMBER CENTER DR, SUITE 102
FORT MITCHELL, KY 41017
Kenton County (859) 781-4900
MRS. JESSICA RYAN HALL CNP
Nurse Practitioner
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 655-7040
BRYAN FALLIS
Durable Medical Equipment & Medical Supplies
2300 CHAMBER CENTER DR, SUITE 100
LAKESIDE PARK, KY 41017
Kenton County (859) 331-2440
MRS. SHAWN KATHLEEN ROSS MD
Family Medicine
2300 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017
Kenton County (859) 341-3114

Frequently Asked Questions

What is Joshua Benge's NPI number?

The NPI number assigned to this healthcare provider is 1194920025, enumerated as an "individual" on June 20, 2007.

Where is the provider located?

The provider is located at 2300 CHAMBER CENTER DR LAKESIDE PARK, KY 41017 and the phone number is (859) 655-7040.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Joshua Benge accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Is Joshua Benge affiliated with any hospitals?

Joshua Benge is affiliated with: ST ELIZABETH FT THOMAS, ST ELIZABETH EDGEWOOD and ST ELIZABETH FLORENCE.