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BENJAMIN R BIRNEY MD
NPI 1922560424
Physical Medicine & Rehabilitation - Pain Medicine in Morgantown, WV

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
943 MAPLE DR LOWR LEVEL, MORGANTOWN, WV 26505(304) 598-4830 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2026, Jul 24, 2024, Apr 3, 2019 (3 updates tracked since 2019).

About Benjamin R Birney Md NPPES

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

BENJAMIN R BIRNEY MD (NPI 1922560424) is an individual pain medicine provider in Morgantown, West Virginia, licensed in West Virginia (34069) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Rocky Point.

NPPES Registry Identity

NPI1922560424
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameBENJAMIN R BIRNEYCredential: MD
Location Address943 MAPLE DR LOWR LEVELMorgantown, WV 26505-2812
Mailing Address1 Lewis LndgMorgantown, WV 26505-3863 · (631) 275-4201
Phone(304) 598-4830
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1922560424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in WV · 34069
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
943 MAPLE DR LOWR LEVEL, Morgantown, WV 26505
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Secondary Practice Location 1

Location 12 Wood PathRocky Point, NY 11778-8958 · Phone (631) 744-6562

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin R Birney 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 ID3274071626
PECOS Enrollment IDI20240815003037
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 Birney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation
0.9 mi
Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1275504508 (304) 598-4800
West Virginia Health Care Cooperative Inc
105 mi
Hospitalist
400 FAIRVIEW HEIGHTS RD
Summersville, WV 26651
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1043778319 (West Virginia)
  • 120 clinicians in this Medicare group
NPI 1417415324 (304) 872-8402

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

Areas of Expertise CMS Part B claims 5

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.

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.
20 services20 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
17 services14 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
16 services13 patients
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.
15 services11 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

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.

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Physical Medicine & Rehabilitation
943 MAPLE DR LOWR LEVEL
MORGANTOWN, WV 26505
Monongalia County (304) 598-4830
KAREN PATRICIA BARR MD
Physical Medicine & Rehabilitation
943 MAPLE DR LOWR LEVEL
MORGANTOWN, WV 26505
Monongalia County (304) 598-4830
WVU SPORTS MEDICINE - UHA
Orthopaedic Surgery (Sports Medicine)
943 MAPLE DR LOWR LEVEL
MORGANTOWN, WV 26505
Monongalia County (304) 598-4830

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 Birney's NPI number?

The NPI number for Benjamin Birney is 1922560424. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Benjamin Birney located?

Benjamin Birney practices at 943 Maple Dr Lowr Level, Morgantown, WV 26505. The listed phone number is (304) 598-4830.

What is Benjamin Birney's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Benjamin Birney enrolled in Medicare?

Yes. Benjamin Birney 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.

Which organizations bill Medicare for Benjamin Birney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Birney reassigns Medicare benefits to 2 organizations: West Virginia University Medical Corporation (Morgantown, WV) and West Virginia Health Care Cooperative Inc (Summersville, WV). 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 Birney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Birney accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Benjamin Birney 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 Birney affiliated with any hospitals?

According to CMS data, Benjamin Birney is affiliated with West Virginia University Hospitals, Inc and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Birney was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.