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COOPER ROTH BENSON MD
NPI 1760781645
Urology in Middletown, OH

Active since March 18, 2011PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
200 MEDICAL CENTER DR STE 500, MIDDLETOWN, OH 45005(513) 423-2244 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 28, 2024, Oct 4, 2018, Aug 2, 2018 and 1 more (4 updates tracked since 2017).

About Cooper Roth Benson Md NPPES

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

COOPER ROTH BENSON MD (NPI 1760781645) is an individual urology provider in Middletown, Ohio, licensed in Ohio (35C.001715) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2011).

NPPES Registry Identity

NPI1760781645
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameCOOPER ROTH BENSONCredential: MD
Location Address200 MEDICAL CENTER DR STE 500Middletown, OH 45005-5183
Mailing AddressPo Box 738291Cincinnati, OH 45212-8291
Phone(513) 423-2244
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2011
Enumeration DateMarch 18, 2011
Last NPPES UpdateJuly 14, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1760781645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in OH · 35C.001715✔ Licensed in LA · 308825✔ Licensed in TX · T2324✔ Licensed in NY · 286338-01
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
200 MEDICAL CENTER DR STE 500, Middletown, OH 45005
Open in Google Maps ↗

Accepted Insurance

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

Cooper Roth Benson 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 ID8820369135
PECOS Enrollment IDI20250226002342
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 9

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 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.
42 services33 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
39 services29 patients
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.
28 services26 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
20 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

TRI STATE UROLOGIC SERVICES PSC INC
Urology
200 MEDICAL CENTER DR STE 500
MIDDLETOWN, OH 45005
Warren County (513) 841-7777
MARTIN JOHN WALSH M.D.
Urology
200 MEDICAL CENTER DR STE 500
MIDDLETOWN, OH 45005
Warren County (513) 841-7777
DAVID CHARLES MILLER M.D.
Urology
200 MEDICAL CENTER DR STE 500
MIDDLETOWN, OH 45005
Warren County (513) 841-7777

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 Cooper Benson's NPI number?

The NPI number for Cooper Benson is 1760781645. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Where is Cooper Benson located?

Cooper Benson practices at 200 Medical Center Dr Ste 500, Middletown, OH 45005. The listed phone number is (513) 423-2244.

What is Cooper Benson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Cooper Benson enrolled in Medicare?

Yes. Cooper Benson 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 Cooper Benson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 7 other insurers list Cooper Benson 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 Cooper Benson affiliated with any hospitals?

According to CMS data, Cooper Benson is affiliated with Miami Valley Hospital, Mercy Health - Fairfield Hospital, Atrium Medical Center, Fort Hamilton Hughes Memorial Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Cooper Benson was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.