KAYLA BENTON DO
NPI 1639606049
Family Medicine in Cedartown, GA

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
98.1/100
CMS Quality Rating
1025 N MAIN ST, CEDARTOWN, GA 30125(706) 509-3278 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Nov 15, 2022, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

About Kayla Benton Do NPPES

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

KAYLA BENTON DO (NPI 1639606049) is an individual family medicine provider in Cedartown, Georgia, licensed in Georgia (85437) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and maintains a secondary practice location in Rome.

NPPES Registry Identity

NPI1639606049
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAYLA BENTONCredential: DO
Location Address1025 N MAIN STCedartown, GA 30125-2036
Mailing Address420 E 2nd Ave Ste 103Rome, GA 30161-3210 · (706) 509-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 16, 2017
Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
NPI 1639606049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 85437
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1025 N MAIN ST, Cedartown, GA 30125

Secondary Practice Location 1

Location 1304 Shorter Ave NW Ste 201Rome, GA 30165-4256 · Phone (706) 509-3300 · Fax (706) 292-7653

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

Kayla Benton 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 ID6103249719
PECOS Enrollment IDI20200714003286
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 8

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 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.
138 services79 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
112 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
78 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
51 services31 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
40 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Atrium Health Floyd Polk Medical Center

Critical Access Hospitals · Cedartown, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number111330
Location2360 Rockmart HighwayCedartown, GA 30125 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30125 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

98.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

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$19.50 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$113.82 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 4

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

Family Medicine
1025 N MAIN ST
CEDARTOWN, GA 30125
Non-Pharmacy Dispensing Site
1025 N MAIN ST
CEDARTOWN, GA 30125
Family Medicine
1025 N MAIN ST
CEDARTOWN, GA 30125
Dermatology
1025 N MAIN ST
CEDARTOWN, GA 30125

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 Kayla Benton's NPI number?

The NPI number for Kayla Benton is 1639606049. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Kayla Benton located?

Kayla Benton practices at 1025 N Main St, Cedartown, GA 30125. The listed phone number is (706) 509-3278.

What is Kayla Benton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kayla Benton enrolled in Medicare?

Yes. Kayla Benton 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 Kayla Benton 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 Kayla Benton 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 Kayla Benton affiliated with any hospitals?

According to CMS data, Kayla Benton is affiliated with Atrium Health Floyd Medical Center and Atrium Health Floyd Polk Medical Center.

When was this NPI record last updated?

The NPPES record for Kayla Benton was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.