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DR. BROOKE HELEN MARIA BENTON DO
NPI 1730744137
Obstetrics & Gynecology in Hazard, KY

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
101 TOWN AND COUNTRY LN STE 100, HAZARD, KY 41701(606) 439-1300(606) 439-1400 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2023, May 29, 2023, May 1, 2019 (3 updates tracked since 2019).

About Dr. Brooke Helen Maria Benton Do NPPES

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

DR. BROOKE HELEN MARIA BENTON DO (NPI 1730744137) is an individual obstetrics & gynecology provider in Hazard, Kentucky, licensed in Kentucky (05567) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mount Sterling, and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1730744137
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. BROOKE HELEN MARIA BENTONCredential: DO
Location Address101 TOWN AND COUNTRY LN STE 100Hazard, KY 41701-9524
Mailing AddressPo Box 70569Johnson City, TN 37614-1707 · (423) 439-8097 · Fax (423) 439-6766
Phone(606) 439-1300
Fax(606) 439-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 1, 2019
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedJuly 3, 2023
✔ NPI 1730744137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KY · 05567
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
101 TOWN AND COUNTRY LN STE 100, Hazard, KY 41701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1325 N State Of Franklin RdJohnson City, TN 37604-6056 · Phone (423) 439-7272

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Dr. Brooke Helen Maria 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 ID3779947551
PECOS Enrollment IDI20230912003416
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 Reassignment

Medicare enrollment records show Brooke Benton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sterling Health Solutions, Inc
31 mi
Federally Qualified Health Center (FQHC)
633 MAYSVILLE RD
Mount Sterling, KY 40353
  • Reassigned Medicare billing, Kentucky enrollment
  • 68 clinicians in this Medicare group
NPI 1366790099 (859) 404-7686

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

Hospital Affiliations CMS Care Compare

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

Saint Joseph Mount Sterling

Acute Care Hospitals · Mount Sterling, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180064
Location225 Falcon DriveMount Sterling, KY 40353 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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.

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.

BEVERLY PAIGE NEACE PAC
Physician Assistant
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Perry County (606) 439-1300
CHRISTINA RUTH MARTIN APRN
Nurse Practitioner (Psychiatric/Mental Health)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Perry County (606) 439-1300
DR. COLLEEN L MCLEOD MD
Pediatrics
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Perry County (606) 439-1300
RHONDA K HUGHES APRN
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Perry County (606) 439-1300
LESLIE DEATON APRN
Nurse Practitioner (Family)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Perry County (606) 439-1300
TAMMY NICOLE BAILEY APRN-PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Perry County (606) 439-1300
CANDIDA R DIXON APRN
Nurse Practitioner
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Perry County (606) 439-1300
MS. SHANNON MARTHA HERALD NP
Nurse Practitioner (Psychiatric/Mental Health)
101 TOWN AND COUNTRY LN STE 100
HAZARD, KY 41701
Perry County (606) 439-1300

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 Brooke Benton's NPI number?

The NPI number for Brooke Benton is 1730744137. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Brooke Benton located?

Brooke Benton practices at 101 Town And Country Ln Ste 100, Hazard, KY 41701. The listed phone number is (606) 439-1300.

What is Brooke Benton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brooke Benton enrolled in Medicare?

Yes. Brooke 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.

Which organization bills Medicare for Brooke Benton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Benton reassigns Medicare benefits to Sterling Health Solutions, Inc (Mount Sterling, KY). The 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 Brooke Benton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brooke Benton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Brooke 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 Brooke Benton affiliated with any hospitals?

According to CMS data, Brooke Benton is affiliated with Saint Joseph Mount Sterling.

When was this NPI record last updated?

The NPPES record for Brooke Benton was last updated on July 3, 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.