DR. BENJAMIN ROBERT COLEMAN MD
NPI 1811036312
Pathology - Anatomic Pathology & Clinical Pathology in Eureka, IL
About Dr. Benjamin Robert Coleman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN ROBERT COLEMAN MD (NPI 1811036312) is an individual anatomic pathology & clinical pathology provider in Eureka, Illinois, licensed in Illinois (036118784) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Decatur.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Benjamin Robert Coleman 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.
Medicare Billing Reassignments
4Medicare enrollment records show Benjamin Coleman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, IL 62521
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Hoopeston, IL 60942
- Reassigned Medicare billing, Illinois enrollment
- 488 clinicians in this Medicare group
Olney, IL 62450
- Reassigned Medicare billing, Illinois enrollment
- 301 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.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carle Bromenn Medical Center
Acute Care Hospitals · Normal, ILCarle Eureka Hospital
Critical Access Hospitals · Eureka, ILGibson Community Hospital
Critical Access Hospitals · Gibson City, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EUREKA, IL 61530
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 Coleman's NPI number?
The NPI number for Benjamin Coleman is 1811036312. It was assigned to this individual provider in the NPPES registry on February 5, 2007.
Where is Benjamin Coleman located?
Benjamin Coleman practices at 101 S Major St, Eureka, IL 61530. The listed phone number is (309) 304-2115.
What is Benjamin Coleman's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Benjamin Coleman enrolled in Medicare?
Yes. Benjamin Coleman 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 Coleman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Coleman reassigns Medicare benefits to 4 organizations: K M B S C (Decatur, IL), Carle Health Medical Group (Urbana, IL), Hoopeston Community Memorial Hospital (Hoopeston, IL) and Richland Memorial Hospital, Inc. (Olney, IL). 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 Coleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Coleman accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Benjamin Coleman 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 Coleman affiliated with any hospitals?
According to CMS data, Benjamin Coleman is affiliated with Carle Bromenn Medical Center, Carle Eureka Hospital and Gibson Community Hospital.
When was this NPI record last updated?
The NPPES record for Benjamin Coleman was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.
# Dr. Benjamin Robert Coleman, MD · NPI 1811036312
Anatomic Pathology & Clinical Pathology physician in Eureka, Illinois. Individual provider, active in the CMS NPPES registry since February 5, 2007.
## Identity
- **NPI:** 1811036312 (Entity type: Individual)
- **Enumerated:** February 5, 2007
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 036118784 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 S MAJOR ST, Eureka, IL 61530-1246
- **Phone:** (309) 304-2115
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): K M B S C (NPI 1902867997, Decatur, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL); Hoopeston Community Memorial Hospital (NPI 1578504544, Hoopeston, IL); Richland Memorial Hospital, Inc. (NPI 1053792689, Olney, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2002
## Record status
- **NPPES last updated:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811036312) · Data from the CMS NPPES public registry.