CARLEIGH LYNNE BENTON MD
NPI 1851897326
Emergency Medicine in Aurora, CO

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12505 E. 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carleigh Lynne Benton Md NPPES

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

CARLEIGH LYNNE BENTON MD (NPI 1851897326) is an individual emergency medicine provider in Aurora, Colorado, licensed in Colorado (DR.0068558) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Maryland School Of Medicine (2018).

NPPES Registry Identity

NPI1851897326
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCARLEIGH LYNNE BENTONCredential: MD
Location Address12505 E. 16TH AVEAurora, CO 80045
Mailing Address777 Bannock St # Mc0108Denver, CO 80204-4597 · (303) 602-5183
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJune 23, 2022
NPI 1851897326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CO · DR.0068558
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
12505 E. 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 1777 Bannock St # Mc0108Denver, CO 80204-4507 · Phone (303) 602-5183

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

Carleigh Lynne Benton 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 ID5597145524
PECOS Enrollment IDI20220707002359
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
311 services300 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
56 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
12505 E. 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Acute Care)
12505 E. 16TH AVE
AURORA, CO 80045
Emergency Medicine
12505 E. 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Acute Care)
12505 E. 16TH AVE
AURORA, CO 80045
Physician Assistant (Medical)
12505 E. 16TH AVE
AURORA, CO 80045
Emergency Medicine
12505 E. 16TH AVE
AURORA, CO 80045
Physician Assistant (Medical)
12505 E. 16TH AVE
AURORA, CO 80045
Pathology (Anatomic Pathology & Clinical Pathology)
12505 E. 16TH AVE
AURORA, CO 80045

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 Carleigh Benton's NPI number?

The NPI number for Carleigh Benton is 1851897326. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Carleigh Benton located?

Carleigh Benton practices at 12505 E. 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Carleigh Benton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carleigh Benton enrolled in Medicare?

Yes. Carleigh Benton 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 Carleigh Benton accept?

Health plans from Medica list Carleigh Benton 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 Carleigh Benton was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.