BENJAMIN THOMAS APRN, FNP-C
NPI 1922756584
Nurse Practitioner - Family in Chillicothe, OH

Active since March 14, 2022PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
4439 STATE ROUTE 159 STE 150, CHILLICOTHE, OH 45601(740) 779-8268(740) 779-8269 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Benjamin Thomas Aprn, Fnp-c NPPES

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

BENJAMIN THOMAS APRN, FNP-C (NPI 1922756584) is an individual family provider in Chillicothe, Ohio, licensed in Ohio (APRN.CNP.0030751) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922756584
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBENJAMIN THOMASCredential: APRN, FNP-C
Location Address4439 STATE ROUTE 159 STE 150Chillicothe, OH 45601-7833
Mailing Address4439 State Route 159 Ste 150Chillicothe, OH 45601-7833 · (740) 779-8268 · Fax (740) 779-8269
Fax(740) 779-8269
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 14, 2022
Last NPPES UpdateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1922756584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.0030751
4439 STATE ROUTE 159 STE 150, Chillicothe, OH 45601

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 Thomas Aprn, Fnp-c 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 ID2668869553
PECOS Enrollment IDI20220422002366
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, 30-39 minutes 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.
62 services53 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
24 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361334
Location100 Dawn LaneWaverly, OH 45690 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers15 claims15 services$187.94 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.

Internal Medicine
4439 STATE ROUTE 159 STE 150
CHILLICOTHE, OH 45601
Internal Medicine
4439 STATE ROUTE 159 STE 150
CHILLICOTHE, OH 45601
Nurse Practitioner
4439 STATE ROUTE 159 STE 150
CHILLICOTHE, OH 45601
Internal Medicine
4439 STATE ROUTE 159 STE 150
CHILLICOTHE, OH 45601
Internal Medicine
4439 STATE ROUTE 159 STE 150
CHILLICOTHE, OH 45601
Internal Medicine (Infectious Disease)
4439 STATE ROUTE 159 STE 150
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
4439 STATE ROUTE 159 STE 150
CHILLICOTHE, OH 45601
Internal Medicine (Nephrology)
4439 STATE ROUTE 159 STE 150
CHILLICOTHE, OH 45601

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 Thomas's NPI number?

The NPI number for Benjamin Thomas is 1922756584. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Benjamin Thomas located?

Benjamin Thomas practices at 4439 State Route 159 Ste 150, Chillicothe, OH 45601. The listed phone number is (740) 779-8268.

What is Benjamin Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Benjamin Thomas enrolled in Medicare?

Yes. Benjamin Thomas 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 Thomas accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Benjamin Thomas 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 Thomas affiliated with any hospitals?

According to CMS data, Benjamin Thomas is affiliated with Adena Regional Medical Center and Adena Pike Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Thomas was last updated on April 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.