DR. BENJAMIN RAWALT DNP
NPI 1861058455
Nurse Practitioner - Acute Care in Lawrence, KS

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
85.39/100
CMS Quality Rating
325 MAINE ST, LAWRENCE, KS 66044(785) 505-3350(785) 505-2874 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2023, Jul 2, 2019, May 20, 2019 (3 updates tracked since 2019).

About Dr. Benjamin Rawalt Dnp NPPES

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

DR. BENJAMIN RAWALT DNP (NPI 1861058455) is an individual acute care provider in Lawrence, Kansas, licensed in Kansas (78860) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ottawa, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861058455
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDR. BENJAMIN RAWALTCredential: DNP
Location Address325 MAINE STLawrence, KS 66044-1360
Mailing Address2114 N 1000th RdEudora, KS 66025-9193
Fax(785) 505-2874
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 20, 2019
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1861058455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in KS · 78860
Also ListedRegistered NurseTaxonomy 163W00000X · License 141628 (KS)
325 MAINE ST, Lawrence, KS 66044

Other Identifiers 1

Medicaid30004643160001KS

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. Benjamin Rawalt Dnp 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 ID1759611981
PECOS Enrollment IDI20191001001418
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
188 services111 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
145 services81 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
119 services118 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.
88 services88 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Ottawa

Acute Care Hospitals · Ottawa, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170014
Location1301 S Main StreetOttawa, KS 66067 · Franklin County
Birthing friendly

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66044 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

85.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.44
Promoting Interoperability100
Improvement Activities40
Cost69.88

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
325 MAINE ST
LAWRENCE, KS 66044
Registered Nurse
325 MAINE ST
LAWRENCE, KS 66044
Physical Therapist
325 MAINE ST
LAWRENCE, KS 66044
Rehabilitation Unit
325 MAINE ST
LAWRENCE, KS 66044
Internal Medicine
325 MAINE ST
LAWRENCE, KS 66044
Surgery (Vascular Surgery)
325 MAINE ST
LAWRENCE, KS 66044
Pharmacist (Ambulatory Care)
325 MAINE ST
LAWRENCE, KS 66044
Dietitian, Registered
325 MAINE ST
LAWRENCE, KS 66044

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 Rawalt's NPI number?

The NPI number for Benjamin Rawalt is 1861058455. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Benjamin Rawalt located?

Benjamin Rawalt practices at 325 Maine St, Lawrence, KS 66044. The listed phone number is (785) 505-3350.

What is Benjamin Rawalt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Benjamin Rawalt enrolled in Medicare?

Yes. Benjamin Rawalt 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 Rawalt accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and UnitedHealthcare list Benjamin Rawalt 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 Rawalt affiliated with any hospitals?

According to CMS data, Benjamin Rawalt is affiliated with Adventhealth Ottawa and Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Benjamin Rawalt was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.