BENJAMIN M SEGAL M.D.
NPI 1740299361
Psychiatry & Neurology - Neurology in Columbus, OH

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
395 W 12TH AVE FL 7, COLUMBUS, OH 43210(614) 293-4969(614) 293-6111 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2024, Mar 19, 2021, Oct 1, 2019 and 1 more (4 updates tracked since 2019).

About Benjamin M Segal M.d. NPPES

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

BENJAMIN M SEGAL M.D. (NPI 1740299361) is an individual neurology provider in Columbus, Ohio, licensed in Ohio (35135490) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1988).

NPPES Registry Identity

NPI1740299361
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBENJAMIN M SEGALCredential: M.D.
Location Address395 W 12TH AVE FL 7Columbus, OH 43210-1267
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4969 · Fax (614) 293-6111
Fax(614) 293-6111
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1988
Enumeration DateAugust 5, 2006
Last NPPES UpdateNovember 14, 20244 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1740299361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OH · 35135490
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
395 W 12TH AVE FL 7, Columbus, OH 43210

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

Benjamin M Segal 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 ID143315051
PECOS Enrollment IDI20190911003636
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 Benjamin Segal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurology
2050 KENNY RD
Columbus, OH 43221
  • Reassigned Medicare billing, Ohio enrollment
  • 128 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 7
COLUMBUS, OH 43210
Psychiatry & Neurology (Neurocritical Care)
395 W 12TH AVE FL 7
COLUMBUS, OH 43210
Psychiatry & Neurology (Clinical Neurophysiology)
395 W 12TH AVE FL 7
COLUMBUS, OH 43210

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 Segal's NPI number?

The NPI number for Benjamin Segal is 1740299361. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Benjamin Segal located?

Benjamin Segal practices at 395 W 12th Ave Fl 7, Columbus, OH 43210. The listed phone number is (614) 293-4969.

What is Benjamin Segal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Benjamin Segal enrolled in Medicare?

Yes. Benjamin Segal 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 Benjamin Segal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Segal reassigns Medicare benefits to Osu Neuroscience Center LLC (Columbus, OH). 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 Benjamin Segal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Segal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Benjamin Segal 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.

When was this NPI record last updated?

The NPPES record for Benjamin Segal was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.