BENJAMIN D TANNER MD
NPI 1649240649
Surgery in Louisville, KY

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 DUPONT RD, LOUISVILLE, KY 40207(502) 889-6405(502) 899-6407 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2021, Feb 3, 2017 (2 updates tracked since 2017).

About Benjamin D Tanner Md NPPES

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

BENJAMIN D TANNER MD (NPI 1649240649) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (33097) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of University Of Louisville School Of Medicine (1996).

NPPES Registry Identity

NPI1649240649
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENJAMIN D TANNERCredential: MD
Location Address1000 DUPONT RDLouisville, KY 40207-4611
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 899-6407
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1996
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1649240649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in KY · 33097
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 DUPONT RD, Louisville, KY 40207

Other Identifiers 9

Other3764333000KY · Passport Advantage - Nhwms
Medicaid200518160IN
Other3945283KY · Cigna - Nhwms
Medicaid64100811KY
Other50006995KY · Passport
Other50027318KY · Passport - Nhwms
Other000000642238KY · Anthem - Nhwms
Other000052153CKY · Humana - Nhwms
Other110964KY · Siho - Nhwms

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

Benjamin D Tanner Md 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 ID8820031461
PECOS Enrollment IDI20050606000478
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 2

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.
42 services27 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.
27 services21 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

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

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Acute Care)
1000 DUPONT RD
LOUISVILLE, KY 40207
Surgery
1000 DUPONT RD, SUITE A
LOUISVILLE, KY 40207
Surgery
1000 DUPONT RD
LOUISVILLE, KY 40207
Surgery
1000 DUPONT RD, SUITE A
LOUISVILLE, KY 40207
Nurse Practitioner
1000 DUPONT RD
LOUISVILLE, KY 40207
Dietitian, Registered (Nutrition, Obesity and Weight Management)
1000 DUPONT RD
LOUISVILLE, KY 40207
Social Worker (Clinical)
1000 DUPONT RD
LOUISVILLE, KY 40207
Dietitian, Registered
1000 DUPONT RD
LOUISVILLE, KY 40207

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 Benjamin Tanner's NPI number?

The NPI number for Benjamin Tanner is 1649240649. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Benjamin Tanner located?

Benjamin Tanner practices at 1000 Dupont Rd, Louisville, KY 40207. The listed phone number is (502) 889-6405.

What is Benjamin Tanner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Benjamin Tanner enrolled in Medicare?

Yes. Benjamin Tanner 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 Benjamin Tanner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Benjamin Tanner 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 Benjamin Tanner affiliated with any hospitals?

According to CMS data, Benjamin Tanner is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Benjamin Tanner was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.