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BENJAMIN ALLEN NATHAN RAYHORN PA-C
NPI 1831523083
Physician Assistant in Phoenix, AZ

Active since August 23, 2013PECOS EnrolledAccepts Medicare Assignment
89.09/100
CMS Quality Rating
5018 N 7TH ST, PHOENIX, AZ 85014(602) 255-7680 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Allen Nathan Rayhorn Pa-c NPPES

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

BENJAMIN ALLEN NATHAN RAYHORN PA-C (NPI 1831523083) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (6682) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brookneal, and is a graduate of Southern Illinois University School Of Medicine (2013).

NPPES Registry Identity

NPI1831523083
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN ALLEN NATHAN RAYHORNCredential: PA-C
Location Address5018 N 7TH STPhoenix, AZ 85014-3101
Mailing Address5018 N 7th StPhoenix, AZ 85014-3101 · (602) 255-7680
Phone(602) 255-7680
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2013
Enumeration DateAugust 23, 2013
Last NPPES UpdateAugust 27, 2019
✔ NPI 1831523083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AZ · 6682✔ Licensed in VA · 0110004354
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5018 N 7TH ST, Phoenix, AZ 85014
Open in Google Maps ↗

Secondary Practice Location 1

Location 1104 Carolina AveBrookneal, VA 24528-2643 · Phone (434) 376-2325

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..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

Benjamin Allen Nathan Rayhorn Pa-c 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 ID6305070277
PECOS Enrollment IDI20170525001697
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 2

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 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.
13 services13 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85014 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

89.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost63.63

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.

YE JI SHIN DNP
Nurse Practitioner
5018 N 7TH ST
PHOENIX, AZ 85014
Maricopa County (602) 255-7680
BANNER URGENT CARE SERVICES, LLC
Clinic/Center (Urgent Care)
5018 N 7TH ST
PHOENIX, AZ 85014
Maricopa County (602) 255-7680
JENNIFER CONDITT FNP-C
Nurse Practitioner (Family)
5018 N 7TH ST
PHOENIX, AZ 85014
Maricopa County (602) 255-7680

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 Rayhorn's NPI number?

The NPI number for Benjamin Rayhorn is 1831523083. It was assigned to this individual provider in the NPPES registry on August 23, 2013.

Where is Benjamin Rayhorn located?

Benjamin Rayhorn practices at 5018 N 7th St, Phoenix, AZ 85014. The listed phone number is (602) 255-7680.

What is Benjamin Rayhorn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benjamin Rayhorn enrolled in Medicare?

Yes. Benjamin Rayhorn 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 Benjamin Rayhorn accept?

Health plans from Oscar Health Plan, Inc. list Benjamin Rayhorn 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 Rayhorn was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.