DR. BENNIE R UPCHURCH III MD
NPI 1851342653
Internal Medicine - Gastroenterology in Columbus, OH

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
99 N BRICE RD # N, COLUMBUS, OH 43213(614) 575-2600 Get Directions Write a Review

NPPES record last updated: December 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2022, Apr 6, 2021, Mar 15, 2017 (3 updates tracked since 2017).

About Dr. Bennie R Upchurch Iii Md NPPES

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

DR. BENNIE R UPCHURCH III MD (NPI 1851342653) is an individual gastroenterology provider in Columbus, Ohio, licensed in Ohio (35067988) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1993).

NPPES Registry Identity

NPI1851342653
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BENNIE R UPCHURCH IIICredential: MD
Location Address99 N BRICE RD # NColumbus, OH 43213-6510
Mailing Address99 N Brice Rd # NColumbus, OH 43213-6510 · (614) 575-2600
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1993
Enumeration DateMay 15, 2006
Last NPPES UpdateDecember 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
NPI 1851342653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in OH · 35067988
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
99 N BRICE RD # N, Columbus, OH 43213

Other Identifiers 2

Medicaid2879265OH
Medicaid0460353OH

Accepted 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

Dr. Bennie R Upchurch Iii 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 ID7517879216
PECOS Enrollment IDI20031105000302
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.

Hospital Affiliations CMS Care Compare

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

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 Bennie Upchurch's NPI number?

The NPI number for Bennie Upchurch is 1851342653. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Bennie Upchurch located?

Bennie Upchurch practices at 99 N Brice Rd # N, Columbus, OH 43213. The listed phone number is (614) 575-2600.

What is Bennie Upchurch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Bennie Upchurch enrolled in Medicare?

Yes. Bennie Upchurch 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 Bennie Upchurch accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Bennie Upchurch 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 Bennie Upchurch affiliated with any hospitals?

According to CMS data, Bennie Upchurch is affiliated with University Hospitals Portage Medical Center.

When was this NPI record last updated?

The NPPES record for Bennie Upchurch was last updated on December 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.