JOHN F BENEDICT MD
NPI 1821032483
Urology in Cincinnati, OH

NPI Status: Active since June 15, 2006

Contact Information

2123 AUBURN AVE
SUITE 108
CINCINNATI, OH
ZIP 45219
Phone: (513) 721-7373
Fax: (513) 977-4253

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  • Individual
  • Male
  • Urology
  • PECOS Enrolled

About JOHN BENEDICT

This page provides the complete NPI Profile along with additional information for John Benedict, a provider established in Cincinnati, Ohio with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1821032483 assigned on June 2006. The practitioner's primary taxonomy code is 208800000X with license number 35077615 (OH). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1821032483
Provider Name
JOHN F BENEDICT MD
Gender
Male
Entity Type
Individual
Location Address
2123 AUBURN AVE SUITE 108 CINCINNATI, OH 45219
Location Phone
(513) 721-7373
Location Fax
(513) 977-4253
Mailing Address
2123 AUBURN AVE SUITE 108 CINCINNATI, OH 45219
Mailing Phone
(513) 721-7373
Mailing Fax
(513) 977-4253
Is Sole Proprietor?
No
Enumeration Date
06-15-2006
Last Update Date
10-03-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
35077615
License State
OH
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BE4173012MEDICARE PIN (08)OH 
2197028MEDICAID (05)OH 
G28266MEDICARE UPIN (02)OH 

Medicare Participation & PECOS Enrollment Status

John Benedict is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 45219 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.12
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for JOHN F BENEDICT MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821032483, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 0 + 3 + 4 + 4 + 1 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1821032483.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
2123 AUBURN AVE, SUITE 624
CINCINNATI, OH 45219
Obstetrics & Gynecology
2123 AUBURN AVE, 528
CINCINNATI, OH 45219
Obstetrics & Gynecology
2123 AUBURN AVE, STE 724
CINCINNATI, OH 45219
Obstetrics & Gynecology
2123 AUBURN AVE, SUITE 724
CINCINNATI, OH 45219
Obstetrics & Gynecology (Gynecology)
2123 AUBURN AVE, SUITE 724
CINCINNATI, OH 45219
Obstetrics & Gynecology (Gynecology)
2123 AUBURN AVE, SUITE 724
CINCINNATI, OH 45219
Obstetrics & Gynecology
2123 AUBURN AVE, SUITE 724
CINCINNATI, OH 45219
Surgery (Surgical Oncology)
2123 AUBURN AVE, SUITE 420
CINCINNATI, OH 45219
Internal Medicine (Cardiovascular Disease)
2123 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine (Cardiovascular Disease)
2123 AUBURN AVE
CINCINNATI, OH 45219
Social Worker (Clinical)
2123 AUBURN AVE, SUITE 303
CINCINNATI, OH 45219
Otolaryngology
2123 AUBURN AVE, SUITE 209
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
2123 AUBURN AVE, #404
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
2123 AUBURN AVE, #404
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
2123 AUBURN AVE, #404
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
2123 AUBURN AVE, #404
CINCINNATI, OH 45219
Internal Medicine (Critical Care Medicine)
2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219
Urology
2123 AUBURN AVE, STE 204
CINCINNATI, OH 45219
Internal Medicine (Infectious Disease)
2123 AUBURN AVE, SUITE 242
CINCINNATI, OH 45219
Obstetrics & Gynecology
2123 AUBURN AVE, SUITE 434
CINCINNATI, OH 45219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821032483, enumerated as an "individual" on June 15, 2006.

The provider is located at 2123 AUBURN AVE SUITE 108 CINCINNATI, OH 45219 and the phone number is (513) 721-7373.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.