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BENJAMIN JOHN ARCHAMBAULT
NPI 1336716265
Radiology - Diagnostic Radiology in Charleston, SC

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Jun 9, 2021 (2 updates tracked since 2021).

About Benjamin John Archambault NPPES

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

BENJAMIN JOHN ARCHAMBAULT (NPI 1336716265) is an individual diagnostic radiology provider in Charleston, South Carolina, licensed in South Carolina (95921) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2021).

NPPES Registry Identity

NPI1336716265
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBENJAMIN JOHN ARCHAMBAULT
Location Address171 ASHLEY AVECharleston, SC 29425-0100
Mailing Address171 Ashley AveCharleston, SC 29425-0100 · (843) 792-1414
Phone(843) 792-1414
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2021
Enumeration DateJune 9, 2021
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1336716265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in SC · 95921
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
171 ASHLEY AVE, Charleston, SC 29425
Open in Google Maps ↗

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

Benjamin John Archambault 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 ID648676429
PECOS Enrollment IDI20260121003229
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 Benjamin Archambault reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Associates Of The Medical University Of South Carol
Same address
Obstetrics & Gynecology
171 ASHLEY AVE
Charleston, SC 29425
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,594 clinicians in this Medicare group
NPI 1013934629 (843) 792-1414
Musc Community Physicians
72 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Kershawhealth

Acute Care Hospitals · Camden, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420048
Location1315 Roberts StreetCamden, SC 29020 · Kershaw County
Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
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.

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.

CAROLYN REED WORD M.D.
Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHRISTOPHER ARNOLD HENSLEY CRNA
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
ANGELINA INDIRA PHILLIPS
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
BLAKE DANIEL FORCINA
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHELSEA LEE CRUISE SW
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. RICHARD HAYDEN JONES MD
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
LINDSEY HENDRICKSON NP
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
MICHAEL DAMASO DE GUZMAN
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414

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 Archambault's NPI number?

The NPI number for Benjamin Archambault is 1336716265. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Benjamin Archambault located?

Benjamin Archambault practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Benjamin Archambault's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Benjamin Archambault enrolled in Medicare?

Yes. Benjamin Archambault 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 Archambault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Archambault reassigns Medicare benefits to 2 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC) and Musc Community Physicians (Bamberg, 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 Benjamin Archambault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Archambault accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next list Benjamin Archambault 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 Archambault affiliated with any hospitals?

According to CMS data, Benjamin Archambault is affiliated with Tidelands Georgetown Memorial Hospital, Musc Health Columbia Medical Center Downtown, Kershawhealth, Musc Health Florence Medical Center and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Archambault was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.