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BENJAMIN KEITH HALE PA
NPI 1891076873
Physician Assistant in Knoxville, TN

Active since September 02, 2011PECOS EnrolledAccepts Medicare Assignment
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932(888) 203-1274 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Keith Hale Pa NPPES

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

BENJAMIN KEITH HALE PA (NPI 1891076873) is an individual physician assistant in Knoxville, Tennessee and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Knoxville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891076873
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN KEITH HALECredential: PA
Location Address1431 CENTERPOINT BLVD, SUITE 100Knoxville, TN 37932-1984
Mailing Address1 Trillium WayCorbin, KY 40701-8727
Phone(888) 203-1274
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 2, 2011
Last NPPES UpdateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1891076873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1431 CENTERPOINT BLVD, Knoxville, TN 37932
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Secondary Practice Location 1

Location 16216 Highland Place Way Ste 102Knoxville, TN 37919-4068 · Phone (865) 470-6121 · Fax (866) 549-5151

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 Keith Hale Pa 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 ID5890967913
PECOS Enrollment IDI20111015000056
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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
190 services45 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.
58 services44 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
54 services33 patients
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.
53 services52 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.
47 services46 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
27 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37932 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

DR. ANTHONY SHANE MCRAVEN D.O.
Internal Medicine
1431 CENTERPOINT BLVD, SUITE 100
KNOXVILLE, TN 37932
Knox County (800) 342-2898
BRANDON BROOKS PA-C
Physician Assistant
1431 CENTERPOINT BLVD, SUITE 100
KNOXVILLE, TN 37932
Knox County (865) 985-7234
MS. SARAH FIGAROLA P.A.
Physician Assistant
1431 CENTERPOINT BLVD, SUITE 100
KNOXVILLE, TN 37932
Knox County (931) 247-7504
MR. DELFIN JADOL PA-C
Physician Assistant
1431 CENTERPOINT BLVD, SUITE100
KNOXVILLE, TN 37932
Knox County (865) 985-7012
DR. JAMES E. HENRY JR. M.D.
Emergency Medicine
1431 CENTERPOINT BLVD, STE 100
KNOXVILLE, TN 37932
Knox County (865) 693-1000
GLORIA JEAN KRASS FNP
Nurse Practitioner (Family)
1431 CENTERPOINT BLVD, STE 100
KNOXVILLE, TN 37932
Knox County (865) 985-7029
MONTE DAVID HALL M.D.
Family Medicine
1431 CENTERPOINT BLVD, SUITE 100
KNOXVILLE, TN 37932
Knox County (800) 342-2898
TEAM PHYSICIANS OF OHIO, INC.
Radiology (Diagnostic Radiology)
1431 CENTERPOINT BLVD, SUITE 100
KNOXVILLE, TN 37932
Knox County (865) 985-7185

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 Hale's NPI number?

The NPI number for Benjamin Hale is 1891076873. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Where is Benjamin Hale located?

Benjamin Hale practices at 1431 Centerpoint Blvd Suite 100, Knoxville, TN 37932. The listed phone number is (888) 203-1274.

What is Benjamin Hale's specialty?

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

Is Benjamin Hale enrolled in Medicare?

Yes. Benjamin Hale 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 Hale accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Benjamin Hale 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 Hale was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.