BENJAMIN VALLEY MD
NPI 1295199131
Orthopaedic Surgery in West Chester, OH
About Benjamin Valley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN VALLEY MD (NPI 1295199131) is an individual orthopaedic surgery provider in West Chester, Ohio, licensed in Ohio (35.144816) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains a secondary practice location in Scottsdale.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Group Practice 1
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 Valley 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYSt Elizabeth Florence
Acute Care Hospitals · Florence, KYMercy Health - Fairfield Hospital
Acute Care Hospitals · Fairfield, OHGood Samaritan Hospital
Acute Care Hospitals · Cincinnati, OHBethesda North
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST CHESTER, OH 45069
WEST CHESTER, OH 45069
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 Valley's NPI number?
The NPI number for Benjamin Valley is 1295199131. It was assigned to this individual provider in the NPPES registry on April 6, 2016.
Where is Benjamin Valley located?
Benjamin Valley practices at 8734 Union Centre Blvd, West Chester, OH 45069. The listed phone number is (513) 232-2663.
What is Benjamin Valley's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Benjamin Valley enrolled in Medicare?
Yes. Benjamin Valley 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 Valley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Benjamin Valley 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 Valley affiliated with any hospitals?
According to CMS data, Benjamin Valley is affiliated with St Elizabeth Edgewood, St Elizabeth Florence, Mercy Health - Fairfield Hospital, Good Samaritan Hospital and Bethesda North.
When was this NPI record last updated?
The NPPES record for Benjamin Valley was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
