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DR. JUSTIN LEE BENOIT M.D.
NPI 1588980510
Emergency Medicine in Cincinnati, OH

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
231 ALBERT SABIN WAY, DEPARTMENT OF EMERGENCY MEDICINE, CINCINNATI, OH 45267(513) 558-5281(513) 558-5791 Get Directions Write a Review

NPPES record last updated: October 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Justin Lee Benoit M.d. NPPES

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

DR. JUSTIN LEE BENOIT M.D. (NPI 1588980510) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (120141) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2010).

NPPES Registry Identity

NPI1588980510
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JUSTIN LEE BENOITCredential: M.D.
Location Address231 ALBERT SABIN WAY, DEPARTMENT OF EMERGENCY MEDICINECincinnati, OH 45267-2827
Mailing Address3200 Burnet Ave, 3 South CredentialingCincinnati, OH 45229-3019 · (513) 585-5505 · Fax (513) 585-5511
Phone(513) 558-5281
Fax(513) 558-5791
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2010
Enumeration DateApril 15, 2010
Last NPPES UpdateOctober 11, 2014
✔ NPI 1588980510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 120141
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
231 ALBERT SABIN WAY, Cincinnati, OH 45267
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Other Identifiers 2

Medicare PINH340460OH
Medicaid0106716OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance.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. Justin Lee Benoit 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 ID1658510235
PECOS Enrollment IDI20140729001484
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
144 services144 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
134 services127 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services77 patients
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.
59 services59 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

AHMED ELSAYED SARHAN MD
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-3903
JENNA NICOLE WHITROCK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (217) 617-7664
WARREN BACK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-7333
NOELLE KIPP
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-2978
HEATHER NICOLE KALEY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (720) 254-5993
LAURA BENDER
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (216) 538-3356
KAVYA KEERTHI VADLAMUDI
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-1051
GREGORY RETZINGER MD
Pathology (Clinical Pathology/Laboratory Medicine)
231 ALBERT SABIN WAY, DEPARTMENT OF PATHOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 558-4500

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 Justin Benoit's NPI number?

The NPI number for Justin Benoit is 1588980510. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Where is Justin Benoit located?

Justin Benoit practices at 231 Albert Sabin Way Department Of Emergency Medicine, Cincinnati, OH 45267. The listed phone number is (513) 558-5281.

What is Justin Benoit's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Benoit enrolled in Medicare?

Yes. Justin Benoit 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 Justin Benoit accept?

Health plans from Oscar Health Insurance list Justin Benoit 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 Justin Benoit affiliated with any hospitals?

According to CMS data, Justin Benoit is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Justin Benoit was last updated on October 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.