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BENJAMIN ALLEN BALE DO
NPI 1932562899
Internal Medicine - Critical Care Medicine in Edgewood, KY

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 757-2927(859) 341-0203 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 29, 2026, Apr 28, 2026, Feb 26, 2025 and 3 more (6 updates tracked since 2016).

About Benjamin Allen Bale Do NPPES

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

BENJAMIN ALLEN BALE DO (NPI 1932562899) is an individual critical care medicine provider in Edgewood, Kentucky, licensed in Kentucky (05715) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1932562899
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameBENJAMIN ALLEN BALECredential: DO
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 344-5555 · Fax (859) 344-5552
Phone(859) 757-2927
Fax(859) 341-0203
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 29, 2016
Last NPPES UpdateMay 29, 20266 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1932562899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in KY · 05715
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 05715 (KY)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
Open in Google Maps ↗

Other Identifiers 2

Other1102334633IN · Anthem Ptan
Medicaid300089740IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare, Molina Healthcare.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 Allen Bale 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 ID3678832490
PECOS Enrollment IDI20240525000239, I20260505003879
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

3

Medicare enrollment records show Benjamin Bale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, Inc
4.0 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555
Iu Health Medical Group, LLC
101 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Indiana Clinic Critical Care LLC
101 mi
Pulmonary Disease
1801 N SENATE BLVD, STE 230
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 318 clinicians in this Medicare group
NPI 1417285230 (317) 962-5820

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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

CARA LINDSAY HANSEN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074
DR. STEPHEN G MOELLER MD
Radiology (Diagnostic Radiology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2160

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 Bale's NPI number?

The NPI number for Benjamin Bale is 1932562899. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Benjamin Bale located?

Benjamin Bale practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 757-2927.

What is Benjamin Bale's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Benjamin Bale enrolled in Medicare?

Yes. Benjamin Bale 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 Bale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Bale reassigns Medicare benefits to 3 organizations: Summit Medical Group, Inc (Erlanger, KY), Iu Health Medical Group, LLC (Indianapolis, IN) and Indiana Clinic Critical Care LLC (Indianapolis, IN). 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 Bale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Bale accept?

Health plans from CareSource, Cigna Healthcare and Molina Healthcare list Benjamin Bale 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 Bale affiliated with any hospitals?

According to CMS data, Benjamin Bale is affiliated with Indiana University Health, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Benjamin Bale was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.