SUZANNE BENSON M.D.
NPI 1619183092
Physical Medicine & Rehabilitation in Warm Springs, GA

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
67.11/100
CMS Quality Rating
6135 ROOSEVELT HWY, WARM SPRINGS, GA 31830(706) 655-5461 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suzanne Benson M.d. NPPES

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

SUZANNE BENSON M.D. (NPI 1619183092) is an individual physical medicine & rehabilitation provider in Warm Springs, Georgia, licensed in Georgia (41513) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Upson Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619183092
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameSUZANNE BENSONCredential: M.D.
Location Address6135 ROOSEVELT HWYWarm Springs, GA 31830-2757
Mailing Address1120 15th St # Or6000Augusta, GA 30912-1306 · (706) 721-3813
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1991
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
NPI 1619183092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses Licensed in GA · 41513 Licensed in IN · CV2201170 Licensed in TN · 26747
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
6135 ROOSEVELT HWY, Warm Springs, GA 31830

Secondary Practice Locations 2

Location 12231 Carew StFort Wayne, IN 46805-4713 · Phone (260) 425-6780 · Fax (260) 373-9225
Location 21 Siskin PlzChattanooga, TN 37403-1306 · Phone (423) 634-1200 · Fax (423) 803-2205

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

Suzanne Benson 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 ID8224921655
PECOS Enrollment IDI20221107002080
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 4

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 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.
394 services94 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
145 services77 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.
84 services74 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.
69 services67 patients

Hospital Affiliations CMS Care Compare 3

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

Upson Regional Medical Center

Acute Care Hospitals · Thomaston, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110002
Location801 W Gordon StreetThomaston, GA 30286 · Upson County
Emergency services Birthing friendly

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

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.

67.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Promoting Interoperability0
Improvement Activities40
Cost69.64

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.

Occupational Therapist
6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830
Specialist
6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830
Occupational Therapist
6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830
Speech-Language Pathologist
6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830
Physical Therapist
6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830
Physical Therapist
6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830
Occupational Therapist
6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830
Occupational Therapist
6135 ROOSEVELT HWY
WARM SPRINGS, GA 31830

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 Suzanne Benson's NPI number?

The NPI number for Suzanne Benson is 1619183092. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Suzanne Benson located?

Suzanne Benson practices at 6135 Roosevelt Hwy, Warm Springs, GA 31830. The listed phone number is (706) 655-5461.

What is Suzanne Benson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Suzanne Benson enrolled in Medicare?

Yes. Suzanne Benson 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 Suzanne Benson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Suzanne Benson 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 Suzanne Benson affiliated with any hospitals?

According to CMS data, Suzanne Benson is affiliated with Upson Regional Medical Center, Wellstar West Georgia Medical Center and St Francis Hospital- Emory Healthcare.

When was this NPI record last updated?

The NPPES record for Suzanne Benson was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.