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BROOKE BENTON MD
NPI 1871905505
Family Medicine in Montgomery, AL

Active since May 29, 2014PECOS EnrolledAccepts Medicare Assignment
90.29/100
CMS Quality Rating
4282 LOMAC ST, MONTGOMERY, AL 36106(334) 232-0388(334) 232-9960 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Dec 31, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Brooke Benton Md NPPES

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

BROOKE BENTON MD (NPI 1871905505) is an individual family medicine provider in Montgomery, Alabama, licensed in Alabama (34544) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (2014).

NPPES Registry Identity

NPI1871905505
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBROOKE BENTONCredential: MD
Location Address4282 LOMAC STMontgomery, AL 36106-3604
Mailing Address4282 Lomac StMontgomery, AL 36106-3604 · (334) 232-0388 · Fax (334) 232-9960
Phone(334) 232-0388
Fax(334) 232-9960
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2014
Enumeration DateMay 29, 2014
Last NPPES UpdateFebruary 12, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1871905505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 34544
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4282 LOMAC ST, Montgomery, AL 36106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Brooke 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 ID5193944767
PECOS Enrollment IDI20180712003028
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
239 services131 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
77 services77 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
23 services23 patients
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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36106 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

90.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.28
Promoting Interoperability100
Improvement Activities40
Cost83.37

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
1%300 patients
Advance Care Plan
77%557 patients4/55-star benchmark: 100%
Breast Cancer Screening
44%822 patients2/55-star benchmark: 93%
Cervical Cancer Screening
44%1,683 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
35%1,339 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
64%1,431 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
65%1,549 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
7%627 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
32%627 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%5,813 patients5/55-star benchmark: 100%
e-Prescribing
99%4,642 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
6%530 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%2,987 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
93%2,456 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%4,125 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 42% · 2,667 patients
Patients screened: 45% · 2,667 patients
39%107 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%1,152 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%829 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 572 patients
Patients totalRate: 12% · 574 patients
11%574 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$5.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PICTURE PERFECT SMILES L.L.C.
Dentist
4282 LOMAC ST
MONTGOMERY, AL 36106
Montgomery County (334) 354-7796
TRUCARE FAMILY MEDICINE, LLC
Family Medicine
4282 LOMAC ST
MONTGOMERY, AL 36106
Montgomery County (334) 232-0388
DR. TODD P ROTH D.M.D.
Dentist (Endodontics)
4282 LOMAC ST
MONTGOMERY, AL 36106
Montgomery County (334) 396-2500

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 Brooke Benton's NPI number?

The NPI number for Brooke Benton is 1871905505. It was assigned to this individual provider in the NPPES registry on May 29, 2014.

Where is Brooke Benton located?

Brooke Benton practices at 4282 Lomac St, Montgomery, AL 36106. The listed phone number is (334) 232-0388.

What is Brooke Benton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brooke Benton enrolled in Medicare?

Yes. Brooke 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 Brooke Benton accept?

Health plans from Blue Cross and Blue Shield of Alabama list Brooke 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 Brooke Benton was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.