BENJAMIN L. SHIPTON DO
NPI 1912980723
Family Medicine in Mercer, PA

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
737 GREENVILLE RD, MERCER, PA 16137(724) 662-2650(724) 662-1338 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin L. Shipton Do NPPES

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

BENJAMIN L. SHIPTON DO (NPI 1912980723) is an individual family medicine provider in Mercer, Pennsylvania, licensed in Pennsylvania (OS009964L) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Philadelphia College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1912980723
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN L. SHIPTONCredential: DO
Location Address737 GREENVILLE RDMercer, PA 16137-5023
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (724) 662-2650 · Fax (724) 662-1338
Fax(724) 662-1338
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1997
Enumeration DateNovember 25, 2005
Last NPPES UpdateDecember 11, 2013
NPI 1912980723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS009964L
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.
737 GREENVILLE RD, Mercer, PA 16137

Other Identifiers 3

Medicare UPINH14034PA
Medicaid0018011130002PA
Medicare PIN037253RN0PA

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

Benjamin L. Shipton Do 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 ID648464776
PECOS Enrollment IDI20101102000852
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.

Hospital Affiliations CMS Care Compare 3

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16137 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers20 claims20 services$78.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers19 claims49 services$30.26 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers13 claims70 services$15.38 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers22 claims114 services$13.47 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers30 claims30 services$44.89 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers30 claims30 services$15.65 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 7

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

Pharmacist
737 GREENVILLE RD
MERCER, PA 16137
Nurse Practitioner (Family)
737 GREENVILLE RD
MERCER, PA 16137
Nurse Practitioner (Family)
737 GREENVILLE RD
MERCER, PA 16137
Family Medicine
737 GREENVILLE RD
MERCER, PA 16137
Counselor (Mental Health)
737 GREENVILLE RD
MERCER, PA 16137
Clinic/Center (Federally Qualified Health Center (FQHC))
737 GREENVILLE RD
MERCER, PA 16137
Pharmacist
737 GREENVILLE RD
MERCER, PA 16137

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 Shipton's NPI number?

The NPI number for Benjamin Shipton is 1912980723. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Benjamin Shipton located?

Benjamin Shipton practices at 737 Greenville Rd, Mercer, PA 16137. The listed phone number is (724) 662-2650.

What is Benjamin Shipton's specialty?

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

Is Benjamin Shipton enrolled in Medicare?

Yes. Benjamin Shipton 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 Shipton accept?

Health plans from CareSource and Molina Healthcare list Benjamin Shipton 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 Shipton affiliated with any hospitals?

According to CMS data, Benjamin Shipton is affiliated with Upmc Jameson, Upmc Horizon and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Shipton was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.