DR. BENJAMIN LEE MACKEY M.D.
NPI 1730181967
Ophthalmology in Corbin, KY

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
281 NORTH COMMONWEALTH AVE., CORBIN, KY 40701(606) 528-1143(606) 523-1145 Get Directions Write a Review

NPPES record last updated: April 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin Lee Mackey M.d. NPPES

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

DR. BENJAMIN LEE MACKEY M.D. (NPI 1730181967) is an individual ophthalmology provider in Corbin, Kentucky, licensed in Kentucky (37261) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of University Of Louisville School Of Medicine (1998).

NPPES Registry Identity

NPI1730181967
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BENJAMIN LEE MACKEYCredential: M.D.
Location Address281 NORTH COMMONWEALTH AVE.Corbin, KY 40701
Mailing Address281 North Commonwealth Ave.Corbin, KY 40701 · (606) 528-1143 · Fax (606) 523-1145
Fax(606) 523-1145
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1998
Enumeration DateJune 1, 2005
Last NPPES UpdateApril 26, 2010
NPI 1730181967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in KY · 37261
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 37261 (KY)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 37261 (KY)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 37261 (KY)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 37261 (KY)
281 NORTH COMMONWEALTH AVE., Corbin, KY 40701

Other Identifiers 3

Medicare PIN1913101KY
Medicare UPINH65577KY
Medicaid64052327KY

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

Dr. Benjamin Lee Mackey 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 ID1557403110
PECOS Enrollment IDI20100514000017
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 14

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
555 services546 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
205 services149 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
204 services125 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
200 services114 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
172 services110 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
139 services139 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40701 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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
Quality100
Improvement Activities40
Cost100

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers29 claims29 services$55.01 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier16 claims28 services$40.95 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims28 services$52.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mackey's NPI number?

The NPI number for Benjamin Mackey is 1730181967. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Benjamin Mackey located?

Benjamin Mackey practices at 281 North Commonwealth Ave., Corbin, KY 40701. The listed phone number is (606) 528-1143.

What is Benjamin Mackey's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Benjamin Mackey enrolled in Medicare?

Yes. Benjamin Mackey 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 Mackey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Benjamin Mackey 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 Mackey affiliated with any hospitals?

According to CMS data, Benjamin Mackey is affiliated with Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Benjamin Mackey was last updated on April 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.