Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JAMES KEVIN BENJAMIN M.D.
NPI 1467490797
Radiology - Diagnostic Radiology in Cumberland, MD

Active since June 02, 2006PECOS Enrolled
94.19/100
CMS Quality Rating
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502(240) 964-1036(240) 964-1048 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Jan 23, 2020 (2 updates tracked since 2020).

About Dr. James Kevin Benjamin M.d. NPPES

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

DR. JAMES KEVIN BENJAMIN M.D. (NPI 1467490797) is an individual diagnostic radiology provider in Cumberland, Maryland, licensed in Maryland (D47346) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Eastern Virginia Medical School (1990).

NPPES Registry Identity

NPI1467490797
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JAMES KEVIN BENJAMINCredential: M.D.
Location Address12500 WILLOWBROOK RDCumberland, MD 21502-6393
Mailing AddressPo Box 3206Lavale, MD 21504-3206 · (240) 964-1036 · Fax (240) 964-1048
Fax(240) 964-1048
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1990
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2020
NPI 1467490797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MD · D47346 Licensed in WV · 18148 Licensed in PA · MD051244L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License D47346 (MD), MD051244L (PA), 18148 (WV)
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X · License D47346 (MD), MD051244L (PA), 18148 (WV)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License D47346 (MD), MD051244L (PA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License D47346 (MD), MD051244L (PA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License D47346 (MD), MD051244L (PA)
12500 WILLOWBROOK RD, Cumberland, MD 21502

Other Identifiers 1

Medicaid009661000MD

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

Dr. James Kevin Benjamin 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.

PECOS PAC ID2062300791
PECOS Enrollment IDI20040308000030, I20040519000170, I20230306001379
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.

Areas of Expertise CMS Part B claims 44

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.

Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
153 services148 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
150 services142 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
110 services110 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
89 services89 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
74 services71 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
72 services72 patients

Hospital Affiliations CMS Care Compare 4

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

94.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.14
Improvement Activities40

Reported Quality Measures

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%44 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,673 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%487 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%208 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Social Worker
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Internal Medicine
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Anesthetist, Certified Registered
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Obstetrics & Gynecology
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Anesthetist, Certified Registered
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Emergency Medicine
12500 WILLOWBROOK RD, EMERGENCY DEPARTMENT
CUMBERLAND, MD 21502
Social Worker
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

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 James Benjamin's NPI number?

The NPI number for James Benjamin is 1467490797. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is James Benjamin located?

James Benjamin practices at 12500 Willowbrook Rd, Cumberland, MD 21502. The listed phone number is (240) 964-1036.

What is James Benjamin's specialty?

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

Is James Benjamin enrolled in Medicare?

Yes. James Benjamin 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.

Is James Benjamin affiliated with any hospitals?

According to CMS data, James Benjamin is affiliated with Western Maryland Regional Medical Center, Upmc Somerset, West Virginia University Hospitals, Inc and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for James Benjamin was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.