DR. BENJAMIN B MATTINGLY MD
NPI 1235348194
Emergency Medicine in Morehead, KY

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
222 MEDICAL CIR, MOREHEAD, KY 40351(413) 813-5330 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Benjamin B Mattingly Md NPPES

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

DR. BENJAMIN B MATTINGLY MD (NPI 1235348194) is an individual emergency medicine provider in Morehead, Kentucky, licensed in Kentucky (55089) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Tristar Greenview Regional Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1235348194
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BENJAMIN B MATTINGLYCredential: MD
Location Address222 MEDICAL CIRMorehead, KY 40351-1179
Mailing Address7100 Christy CrkMorehead, KY 40351-7658 · (134) 813-5330
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 21, 2007
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1235348194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in KY · 55089✔ Licensed in MA · 231588
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
222 MEDICAL CIR, Morehead, KY 40351

Accepted 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 B Mattingly 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 ID9234239930
PECOS Enrollment IDI20260406001876
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

7

Medicare enrollment records show Benjamin Mattingly reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
222 MEDICAL CIR
Morehead, KY 40351
  • Reassigned Medicare billing, Kentucky enrollment
  • 296 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
Emergency Medicine
60 MERCY CT
Irvine, KY 40336
  • Reassigned Medicare billing, Kentucky enrollment
  • 54 clinicians in this Medicare group
Emergency Medicine
1801 ASHLEY CIR
Bowling Green, KY 42104
  • Reassigned Medicare billing, Kentucky enrollment
  • 103 clinicians in this Medicare group
Emergency Medicine
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 90 clinicians in this Medicare group
Critical Access
254 MAIN ST
Cadiz, KY 42211
  • Reassigned Medicare billing, Kentucky enrollment
  • 105 clinicians in this Medicare group
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
51 services51 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Tristar Greenview Regional Hospital

Acute Care Hospitals · Bowling Green, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180124
Location1801 Ashley CircleBowling Green, KY 42104 · Warren County
Emergency services

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180127
Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County
Emergency services

Morgan County Arh Hospital

Critical Access Hospitals · West Liberty, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181307
Location476 Liberty RoadWest Liberty, KY 41472 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 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.

Pharmacist (Pharmacotherapy)
222 MEDICAL CIR
MOREHEAD, KY 40351
Family Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Student in an Organized Health Care Education/Training Program
222 MEDICAL CIR
MOREHEAD, KY 40351
Pharmacist
222 MEDICAL CIR
MOREHEAD, KY 40351
Internal Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Family Medicine
222 MEDICAL CIR
MOREHEAD, KY 40351
Physician Assistant
222 MEDICAL CIR
MOREHEAD, KY 40351
Nurse Practitioner (Acute Care)
222 MEDICAL CIR
MOREHEAD, KY 40351

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 Mattingly's NPI number?

The NPI number for Benjamin Mattingly is 1235348194. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Benjamin Mattingly located?

Benjamin Mattingly practices at 222 Medical Cir, Morehead, KY 40351. The listed phone number is (413) 813-5330.

What is Benjamin Mattingly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Mattingly enrolled in Medicare?

Yes. Benjamin Mattingly 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 Mattingly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Mattingly reassigns Medicare benefits to 7 organizations: St Claire Medical Center, Inc., (Morehead, KY), Southeastern Emergency Physicians LLC (Maysville, KY), Emergency Medicine Physicians Of Estill County,pllc (Irvine, KY), Emergency Medicine Services Of Ky, LLC (Bowling Green, KY), Richbend Emergency Physicians, PLLC (Elkins, WV) and 2 more organizations, 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 Mattingly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Mattingly accept?

Health plans from Taro Health list Benjamin Mattingly 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 Mattingly affiliated with any hospitals?

According to CMS data, Benjamin Mattingly is affiliated with Tristar Greenview Regional Hospital, Frankfort Regional Medical Center and Morgan County Arh Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Mattingly was last updated on May 29, 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.