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DR. BENJAMIN J. PHELPS D.O.
NPI 1487002549
Internal Medicine - Pulmonary Disease in Columbia, SC

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
2435 FOREST DR, COLUMBIA, SC 29204(843) 792-1414 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2024, Nov 21, 2022, May 30, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Benjamin J. Phelps D.o. NPPES

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

DR. BENJAMIN J. PHELPS D.O. (NPI 1487002549) is an individual pulmonary disease provider in Columbia, South Carolina, licensed in South Carolina (83076) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2016).

NPPES Registry Identity

NPI1487002549
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BENJAMIN J. PHELPSCredential: D.O.
Location Address2435 FOREST DRColumbia, SC 29204-2026
Mailing AddressPo Box 23321New York, NY 10087-3321 · (843) 792-6200
Phone(843) 792-1414
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateAugust 28, 20244 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1487002549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in SC · 83076
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License OS15182 (FL)
2435 FOREST DR, Columbia, SC 29204
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 of North Carolina, First Choice Next and more.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. Benjamin J. Phelps D.o. 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 ID446527311
PECOS Enrollment IDI20200721001948
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
220 services91 patients
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.
115 services77 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
32 services24 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.
25 services20 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
23 services14 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29204 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.08
Promoting Interoperability99
Improvement Activities40
Cost52.57

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.

PROVIDENCE HOSPITAL, LLC
General Acute Care Hospital
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
DIANNE JENKINS
Nurse Anesthetist, Certified Registered
2435 FOREST DR, 7TH FLOOR
COLUMBIA, SC 29204
Richland County (803) 454-2613
ERIK MYHRER MD
Emergency Medicine
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
JOSEPH SELIG MORSE FNP-C
Nurse Practitioner
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (864) 314-9027
HOLLY GORDON KEELS RRT
Respiratory Therapist, Registered
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
PROVIDENCE PHYSICIAN PRACTICES LLC
Radiology (Diagnostic Radiology)
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
MRS. SMITA PATEL CST
Specialist/Technologist, Other (Surgical Assistant)
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 638-1399
MS. MARYANNE SHULTZ
Pharmacy Technician
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5382

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 Phelps's NPI number?

The NPI number for Benjamin Phelps is 1487002549. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Benjamin Phelps located?

Benjamin Phelps practices at 2435 Forest Dr, Columbia, SC 29204. The listed phone number is (843) 792-1414.

What is Benjamin Phelps's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Benjamin Phelps enrolled in Medicare?

Yes. Benjamin Phelps 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 Phelps accept?

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

According to CMS data, Benjamin Phelps is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Phelps was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.