DR. BENTON E. HEYWORTH M.D.
NPI 1306057674
Orthopaedic Surgery in Boston, MA
About Dr. Benton E. Heyworth M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENTON E. HEYWORTH M.D. (NPI 1306057674) is an individual orthopaedic surgery provider in Boston, Massachusetts, licensed in Massachusetts (239589) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2004).
NPPES Registry Identity
Specialties & Licenses 3
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. Benton E. Heyworth 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.
Medicare Billing Reassignments
2Medicare enrollment records show Benton Heyworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 98 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 57 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Benton Heyworth's NPI number?
The NPI number for Benton Heyworth is 1306057674. It was assigned to this individual provider in the NPPES registry on May 25, 2007.
Where is Benton Heyworth located?
Benton Heyworth practices at 300 Longwood Ave Hunnewell 2, Boston, MA 02115. The listed phone number is (617) 355-6021.
What is Benton Heyworth's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Benton Heyworth enrolled in Medicare?
Yes. Benton Heyworth 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 Benton Heyworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benton Heyworth reassigns Medicare benefits to 2 organizations: Children's Orthopaedic Surgery Foundation, Inc. (Boston, MA) and Children's Sports Medicine Foundation Inc. (Boston, MA). 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 Benton Heyworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benton Heyworth accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Benton Heyworth 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 Benton Heyworth was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.