KIMBERLY BENHAM DO
NPI 1629303904
Emergency Medicine in Bloomington, IN

Active since October 05, 2009PECOS EnrolledAccepts Medicare Assignment
601 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-9515 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 24, 2023, Jan 28, 2021, Jul 26, 2018 (3 updates tracked since 2018).

About Kimberly Benham Do NPPES

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

KIMBERLY BENHAM DO (NPI 1629303904) is an individual emergency medicine provider in Bloomington, Indiana, licensed in Indiana (02004082A) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1629303904
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKIMBERLY BENHAMCredential: DO
Location Address601 W 2ND STBloomington, IN 47403
Mailing AddressPo Box 1329Bloomington, IN 47402-1329 · (812) 353-3087
Sole ProprietorNo
Medical School CMSKansas City College Of Medicine And SurgeryGraduated 2009
Enumeration DateOctober 5, 2009
Last NPPES UpdateMay 24, 20233 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1629303904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 02004082A
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 58.003167 (OH)
601 W 2ND ST, Bloomington, IN 47403

Other Names 1

Former Name (1)Kimberly Irvin Do

Secondary Practice Location 1

Location 11314 E Walnut StWashington, IN 47501-2860 · Phone (812) 254-2760 · Fax (812) 254-9031

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Benham Do 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 ID9436309911
PECOS Enrollment IDI20130103000057
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kimberly Benham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
Emergency Medicine
4011 S MONROE MEDICAL PARK BLVD
Bloomington, IN 47403
  • Reassigned Medicare billing, Indiana enrollment
  • 16 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Medical Specialty
1402 GRAND AVENUE
Washington, IN 47501
  • Reassigned Medicare billing, Indiana enrollment
  • 50 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
26 services26 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.
23 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services21 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.
18 services18 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Monroe Hospital

Acute Care Hospitals · Bloomington, IN
OwnershipProprietary
CMS Certification Number150183
Location4011 S Monroe Medical Park BlvdBloomington, IN 47403 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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
1 supplier12 claims12 services$21.30 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
1 supplier12 claims12 services$119.41 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 20

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

Anesthesiology
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Nurse Practitioner
601 W 2ND ST
BLOOMINGTON, IN 47403
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403

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 Kimberly Benham's NPI number?

The NPI number for Kimberly Benham is 1629303904. It was assigned to this individual provider in the NPPES registry on October 5, 2009. The provider is also known as Kimberly Irvin Do.

Where is Kimberly Benham located?

Kimberly Benham practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-9515.

What is Kimberly Benham's specialty?

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

Is Kimberly Benham enrolled in Medicare?

Yes. Kimberly Benham 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.

Which organizations bill Medicare for Kimberly Benham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Benham reassigns Medicare benefits to 4 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Monticello Emergency Care, LLC (Bloomington, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Daviess County Hospital (Washington, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Benham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Benham accept?

Health plans from CareSource list Kimberly Benham 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 Kimberly Benham affiliated with any hospitals?

According to CMS data, Kimberly Benham is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Daviess Community Hospital and Monroe Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Benham was last updated on May 24, 2023. 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.