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DR. WILLIAM JOHN VAN BENEDEN D.O.
NPI 1518172014
Otolaryngology in Ashland, KY

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
613 23RD ST STE 420, ASHLAND, KY 41101(606) 325-8561(606) 325-3591 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2020, Dec 4, 2018 (2 updates tracked since 2018).

About Dr. William John Van Beneden D.o. NPPES

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

DR. WILLIAM JOHN VAN BENEDEN D.O. (NPI 1518172014) is an individual otolaryngology provider in Ashland, Kentucky, licensed in Kentucky (03158) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Grayson.

NPPES Registry Identity

NPI1518172014
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. WILLIAM JOHN VAN BENEDENCredential: D.O.
Location Address613 23RD ST STE 420Ashland, KY 41101-2885
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612
Phone(606) 325-8561
Fax(606) 325-3591
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2004
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1518172014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in KY · 03158
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
613 23RD ST STE 420, Ashland, KY 41101
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Bellefonte DrGrayson, KY 41143-1820 · Phone (606) 475-5505 · Fax (606) 475-5506

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. William John Van Beneden 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 ID5799838561
PECOS Enrollment IDI20090728000217
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 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services100 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
72 services72 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Other Providers at the Same Location NPPES 2

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

DR. GREGORY L. BAKER M.D.
Otolaryngology
613 23RD ST STE 420
ASHLAND, KY 41101
Boyd County (606) 325-8561
JON A. BRINKMAN D.O.
Otolaryngology (Plastic Surgery within the Head & Neck)
613 23RD ST STE 420
ASHLAND, KY 41101
Boyd County (606) 836-3681

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 William Van Beneden's NPI number?

The NPI number for William Van Beneden is 1518172014. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is William Van Beneden located?

William Van Beneden practices at 613 23rd St Ste 420, Ashland, KY 41101. The listed phone number is (606) 325-8561.

What is William Van Beneden's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is William Van Beneden enrolled in Medicare?

Yes. William Van Beneden 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 William Van Beneden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list William Van Beneden 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 William Van Beneden affiliated with any hospitals?

According to CMS data, William Van Beneden is affiliated with King's Daughters' Medical Center and Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for William Van Beneden was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.