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DR. BENJAMIN MARSHALL M.D.
NPI 1740574052
Psychiatry & Neurology - Psychiatry in Somerset, KY

Active since June 03, 2011PECOS EnrolledAccepts Medicare Assignment
80 HIGHWAY 2227, SOMERSET, KY 42503(513) 393-0969(606) 485-4050 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2025, Mar 19, 2021, Aug 23, 2018 (3 updates tracked since 2018).

About Dr. Benjamin Marshall M.d. NPPES

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

DR. BENJAMIN MARSHALL M.D. (NPI 1740574052) is an individual psychiatry provider in Somerset, Kentucky, licensed in Kentucky (48095) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1740574052
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BENJAMIN MARSHALLCredential: M.D.
Location Address80 HIGHWAY 2227Somerset, KY 42503-1562
Mailing Address228 E. Reynolds Rd, Ste B2Lexington, KY 40517 · (859) 523-2393 · Fax (859) 523-2393
Phone(513) 393-0969
Fax(606) 485-4050
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 3, 2011
Last NPPES UpdateMay 29, 20253 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1740574052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 48095
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
80 HIGHWAY 2227, Somerset, KY 42503
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1599 Freedom Park DrCrestview Hills, KY 41017-5130 · Phone (859) 331-3111
Location 21154A Lexington RdGeorgetown, KY 40324-9330 · Phone (502) 868-7272
Location 32645 N Laurel Rd Ste BLondon, KY 40741-9075 · Phone (502) 749-6249
Location 49702 Stonestreet Rd Ste 120Louisville, KY 40272-6812 · Phone (502) 749-6249
Location 58963 Kingsridge Dr Ste ADayton, OH 45458-1623 · Phone (937) 477-0835 · Fax (606) 485-4050
Location 6228 E. Reynolds Rd, Ste B2Lexington, KY 40517 · Phone (859) 523-2393
Location 7233 Parkers Mill WaySomerset, KY 42503-4152 · Phone (513) 393-0969 · Fax (606) 485-4050

Other Identifiers 2

Medicaid0022215OH
Medicaid7100255090KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Benjamin Marshall 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 ID3577962364
PECOS Enrollment IDI20210527001522
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 Reassignments

6

Medicare enrollment records show Benjamin Marshall reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Protea Behavioral Health Counseling, PLLC
Same address
Professional
80 HIGHWAY 2227
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky and West Virginia enrollments
  • 3 clinicians in this Medicare group
NPI 1205429800 (937) 475-2702
Baptist Health Medical Group Inc
59 mi
Nurse Practitioner
100 PROVIDENCE WAY STE 200
Nicholasville, KY 40356
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1255805586 (859) 260-5370
Changed Lives Substance Abuse Treatment
65 mi
Mental Health
149 DEWEESE ST
Lexington, KY 40507
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
NPI 1609412618 (859) 368-4105
2nd Chance
67 mi
Addiction Medicine
1420 N BROADWAY
Lexington, KY 40505
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
NPI 1215348214 (859) 368-9874
Brightview, LLC
140 mi
Addiction Medicine
446 MORGAN ST
Cincinnati, OH 45206
  • Reassigned Medicare billing, Kentucky enrollment
  • 109 clinicians in this Medicare group
NPI 1659769446 (513) 834-7063
Baltimore Medical Systems, Inc.
464 mi
Federally Qualified Health Center (FQHC)
5525 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Baltimore Medical System, Inc.
  • 243 clinicians in this Medicare group
NPI 1164138152 (410) 558-4084

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 42503 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

MR. CHRISTOPHER DAVID WOODALL I CPSS
Peer Specialist
80 HIGHWAY 2227
SOMERSET, KY 42503
Pulaski County (606) 485-4003
ASHLEY KRISTINA BARKER CPSS
Peer Specialist
80 HIGHWAY 2227
SOMERSET, KY 42503
Pulaski County (606) 341-3299
PHYLLIS RENEE JEFFERS
Peer Specialist
80 HIGHWAY 2227
SOMERSET, KY 42503
Pulaski County (606) 485-9323
JAMES NEW
Peer Specialist
80 HIGHWAY 2227
SOMERSET, KY 42503
Pulaski County (606) 485-9323
BENJAMIN JOHN NEVELS
Peer Specialist
80 HIGHWAY 2227
SOMERSET, KY 42503
Pulaski County (606) 485-4003
MRS. THERESA LYNN RUST PCC-S, LSW, LICDC-CS
Counselor (Mental Health)
80 HIGHWAY 2227
SOMERSET, KY 42503
Pulaski County (513) 475-2702
MINNIE JO UFFMAN CPSS
Peer Specialist
80 HIGHWAY 2227
SOMERSET, KY 42503
Pulaski County (606) 485-4003
PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC
Counselor (Professional)
80 HIGHWAY 2227
SOMERSET, KY 42503
Pulaski County (937) 475-2702

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 Marshall's NPI number?

The NPI number for Benjamin Marshall is 1740574052. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Benjamin Marshall located?

Benjamin Marshall practices at 80 Highway 2227, Somerset, KY 42503. The listed phone number is (513) 393-0969.

What is Benjamin Marshall's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Benjamin Marshall enrolled in Medicare?

Yes. Benjamin Marshall 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 organizations bill Medicare for Benjamin Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Marshall reassigns Medicare benefits to 6 organizations: Protea Behavioral Health Counseling, PLLC (Somerset, KY), Baptist Health Medical Group Inc (Nicholasville, KY), Changed Lives Substance Abuse Treatment (Lexington, KY), 2nd Chance (Lexington, KY), Brightview, LLC (Cincinnati, OH) and 1 more organization, listed in the Medicare section above. Each 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 Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Marshall accept?

Health plans from Anthem Blue Cross and Blue Shield list Benjamin Marshall 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 Marshall was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.