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ASHLEY BEASLEY BENSON MD
NPI 1265488191
Obstetrics & Gynecology - Obstetrics in Spartanburg, SC

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
475 HEYWOOD AVE, SPARTANBURG, SC 29307(864) 699-5020(864) 699-5050 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ashley Beasley Benson Md NPPES

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

ASHLEY BEASLEY BENSON MD (NPI 1265488191) is an individual obstetrics provider in Spartanburg, South Carolina, licensed in South Carolina (22226) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1998).

NPPES Registry Identity

NPI1265488191
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameASHLEY BEASLEY BENSONCredential: MD
Location Address475 HEYWOOD AVESpartanburg, SC 29307-1726
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 699-5020
Fax(864) 699-5050
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1998
Enumeration DateMay 25, 2006
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
✔ NPI 1265488191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in SC · 22226
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
475 HEYWOOD AVE, Spartanburg, SC 29307
Open in Google Maps ↗

Other Identifiers 1

Medicaid222262SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 and accepts Medicare assignment

Ashley Beasley Benson 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 ID446227003
PECOS Enrollment IDI20040913001293
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

2

Medicare enrollment records show Ashley Benson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
Same address
Obstetrics & Gynecology
475 HEYWOOD AVE
Spartanburg, SC 29307
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1083953491 (South Carolina), NPI 1861961963 (South Carolina)
  • 52 clinicians in this Medicare group
NPI 1396981403 (864) 699-5020
Union Medical Center
21 mi
Obstetrics & Gynecology
1201 FURMAN L FENDLEY HWY STE C
Union, SC 29379
  • Reassigned Medicare billing, South Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1275035255 (864) 427-8380

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 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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
135 services135 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.
54 services42 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
41 services41 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.
30 services27 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
19 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29307 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

WOMANS CLINIC PA
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Spartanburg County (864) 699-5020
SPARTANBURG MEDICAL CENTER
Obstetrics & Gynecology
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Spartanburg County (864) 699-5020
JOHN RUSSELL SCOTT MD
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Spartanburg County (864) 699-5020
DR. HELEN ELIZABETH BROWN M.D.
Obstetrics & Gynecology
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Spartanburg County (864) 699-5020
ROBERT MICHAEL ARNETT MD
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Spartanburg County (864) 699-5020
JAMES OVEL JOHNSON MD
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Spartanburg County (864) 699-5020
ROBERT FIELD GOODLETT MD
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Spartanburg County (864) 699-5020
ROBERTO JOSE PEREYO MD
Obstetrics & Gynecology (Obstetrics)
475 HEYWOOD AVE
SPARTANBURG, SC 29307
Spartanburg County (864) 699-5020

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 Ashley Benson's NPI number?

The NPI number for Ashley Benson is 1265488191. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Ashley Benson located?

Ashley Benson practices at 475 Heywood Ave, Spartanburg, SC 29307. The listed phone number is (864) 699-5020.

What is Ashley Benson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Ashley Benson enrolled in Medicare?

Yes. Ashley Benson 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 Ashley Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Benson reassigns Medicare benefits to 2 organizations: Spartanburg Medical Center (Spartanburg, SC) and Union Medical Center (Union, SC). 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 Ashley Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Benson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 3 other insurers list Ashley Benson 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 Ashley Benson affiliated with any hospitals?

According to CMS data, Ashley Benson is affiliated with Spartanburg Medical Center, Cherokee Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Benson was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.