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ROLAND E. BENTON MD
NPI 1891774675
Internal Medicine in Ironton, OH

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1005 E RING RD, IRONTON, OH 45638(740) 534-9830(740) 534-9832 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Dec 16, 2020, Sep 15, 2020 (3 updates tracked since 2020).

About Roland E. Benton Md NPPES

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

ROLAND E. BENTON MD (NPI 1891774675) is an individual internal medicine provider in Ironton, Ohio, licensed in Ohio (35.077695) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1891774675
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROLAND E. BENTONCredential: MD
Location Address1005 E RING RDIronton, OH 45638-9610
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 353-7900
Phone(740) 534-9830
Fax(740) 534-9832
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 11, 2006
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1891774675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.077695✔ Licensed in KY · 35913
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1005 E RING RD, Ironton, OH 45638
Open in Google Maps ↗

Other Identifiers 5

Medicaid1801701000WV
Medicaid64022619KY
Medicaid2190276OH
Other000000380359KY · Anthem Bcbs
Other000000598423KY · Anthem Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Roland E. 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 ID5890789192
PECOS Enrollment IDI20050504000330
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 2

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.
203 services172 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.
179 services148 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45638 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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%487 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%788 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
0%743 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
47%310 patients2/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%346 patients5/55-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.

Other Providers at the Same Location NPPES 6

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

BRYAN H. FULLER MD
Internal Medicine
1005 E RING RD
IRONTON, OH 45638
Lawrence County (740) 534-9830
ROCKFORD JAMES MEADOWS MD
Family Medicine
1005 E RING RD
IRONTON, OH 45638
Lawrence County (740) 534-9830
BELLEFONTE PHYSICIAN SERVICES, INC
Family Medicine
1005 E RING RD, STE. 2
IRONTON, OH 45638
Lawrence County (740) 534-9830
BELLEFONTE PHYSICIAN SERVICES, INC
Internal Medicine
1005 E RING RD
IRONTON, OH 45638
Lawrence County (740) 533-3980
OUR LADY OF BELLEFONTE HOSPITAL INC
Home Health
1005 E RING RD
IRONTON, OH 45638
Lawrence County (740) 533-9010
KRISTIE JOHNSON CNP
Nurse Practitioner
1005 E RING RD
IRONTON, OH 45638
Lawrence County (740) 534-9830

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 Roland Benton's NPI number?

The NPI number for Roland Benton is 1891774675. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Roland Benton located?

Roland Benton practices at 1005 E Ring Rd, Ironton, OH 45638. The listed phone number is (740) 534-9830.

What is Roland Benton's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roland Benton enrolled in Medicare?

Yes. Roland 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 Roland Benton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Roland 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.

Is Roland Benton affiliated with any hospitals?

According to CMS data, Roland Benton is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Roland Benton was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.