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DR. BENJAMIN W. BURKETT M.D.
NPI 1912048224
Orthopaedic Surgery in Madisonville, KY

Active since February 09, 2007PECOS Enrolled
200 CLINIC DR, MADISONVILLE, KY 42431(270) 824-6655(270) 824-6629 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2017, Sep 13, 2016 (2 updates tracked since 2016).

About Dr. Benjamin W. Burkett M.d. NPPES

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

DR. BENJAMIN W. BURKETT M.D. (NPI 1912048224) is an individual orthopaedic surgery provider in Madisonville, Kentucky, licensed in Kentucky (46122) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Horn Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1912048224
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BENJAMIN W. BURKETTCredential: M.D.
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing Address2700 Stanley Gault Pkwy, Suite 129Louisville, KY 40223-5132 · (502) 253-4900 · Fax (502) 489-5750
Phone(270) 824-6655
Fax(270) 824-6629
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 9, 2007
Last NPPES UpdateMarch 14, 20172 updates tracked since enumeration
✔ NPI 1912048224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in KY · 46122
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 46122 (KY)
200 CLINIC DR, Madisonville, KY 42431
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Other Identifiers 5

Medicaid3086913OH
Medicare PINBU4303311OH
Medicaid7100133370KY
Medicare PINK117401KY
Medicare PINK117400KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin W. Burkett M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547453557
PECOS Enrollment IDI20140217001093, I20240715003291
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Benjamin Burkett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crawford County Memorial Hospital
528 mi
Emergency Care
2020 1ST AVE S
Denison, IA 51442
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1578555116 (Iowa)
  • 29 clinicians in this Medicare group
NPI 1619969086 (712) 263-5021
Ida County Iowa Community Hospital
547 mi
Emergency Medicine
701 E 2ND ST
Ida Grove, IA 51445
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1265461180 (Iowa)
  • 39 clinicians in this Medicare group
NPI 1053327775 (712) 364-3311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Horn Memorial Hospital

Critical Access Hospitals · Ida Grove, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161354
Location701 E 2nd StIda Grove, IA 51445 · Ida County
Emergency services

Crawford County Memorial Hospital

Critical Access Hospitals · Denison, IA
OwnershipGovernment - Local
CMS Certification Number161369
Location100 Medical ParkwayDenison, IA 51442 · Crawford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.32 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 20

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

HEATHER RAE PENDLEY
Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
KRISTIN WICKHAM M.D.
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200
OHIO VALLEY NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6601
DR. TIMI A AKINS MD
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5220
JAMES CRISS YELTON M.D.
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-6655
TEHMINA KHAN MD
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6690
RACHEL ELIZABETH VAUGHAN
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
BRENDA L. BRUCE KCSA
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200

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 Burkett's NPI number?

The NPI number for Benjamin Burkett is 1912048224. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Benjamin Burkett located?

Benjamin Burkett practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 824-6655.

What is Benjamin Burkett's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Burkett enrolled in Medicare?

Yes. Benjamin Burkett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Benjamin Burkett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Burkett reassigns Medicare benefits to 2 organizations: Crawford County Memorial Hospital (Denison, IA) and Ida County Iowa Community Hospital (Ida Grove, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Burkett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Burkett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Benjamin Burkett 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 Burkett affiliated with any hospitals?

According to CMS data, Benjamin Burkett is affiliated with Horn Memorial Hospital and Crawford County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Burkett was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.