DR. JOHN B BENTON MD
NPI 1477545754
Hospitalist in Louisville, KY

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
3950 KRESGE WAY STE 308, LOUISVILLE, KY 40207(502) 895-8911(502) 895-8977 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 3, 2017 (3 updates tracked since 2017).

About Dr. John B Benton Md NPPES

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

DR. JOHN B BENTON MD (NPI 1477545754) is an individual hospitalist provider in Louisville, Kentucky, licensed in Kentucky (41725) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1477545754
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JOHN B BENTONCredential: MD
Location Address3950 KRESGE WAY STE 308Louisville, KY 40207-4637
Mailing AddressPo Box 9203Belfast, ME 04915-9203 · (502) 895-9627 · Fax (502) 895-8977
Fax(502) 895-8977
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2000
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1477545754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in KY · 41725
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 41725 (KY)
3950 KRESGE WAY STE 308, Louisville, KY 40207

Secondary Practice Location 1

Location 12400 Eastpoint Pkwy, Suite 550Louisville, KY 40223-4154 · Phone (502) 253-6630 · Fax (502) 253-6639

Other Identifiers 7

Other000000548736KY · Anthem
Other000063095GKY · Humana
Other352154103United Healthcare Prov
Medicaid64117005KY
OtherP00049026IN · Railroad Medicare Prov#
Medicaid200448900IN
Other000000300382IN · Anthem Prov#

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

Dr. John B Benton 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 ID7012930084
PECOS Enrollment IDI20080226000427
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
862 services366 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
233 services229 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
197 services122 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
192 services192 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%463 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers37 claims37 services$13.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers37 claims37 services$58.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Nurse Practitioner
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Nurse Practitioner
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207
Internal Medicine
3950 KRESGE WAY STE 308
LOUISVILLE, KY 40207

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 John Benton's NPI number?

The NPI number for John Benton is 1477545754. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is John Benton located?

John Benton practices at 3950 Kresge Way Ste 308, Louisville, KY 40207. The listed phone number is (502) 895-8911.

What is John Benton's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is John Benton enrolled in Medicare?

Yes. John Benton 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 John Benton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list John Benton 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 John Benton affiliated with any hospitals?

According to CMS data, John Benton is affiliated with Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for John Benton was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.