NATHAN DANIEL BENNINGTON D.O.
NPI 1972777589
Radiology - Diagnostic Radiology in Portsmouth, OH

Active since April 15, 2008PECOS EnrolledAccepts Medicare Assignment
83.13/100
CMS Quality Rating
1805 27TH ST, PORTSMOUTH, OH 45662(740) 356-8117(740) 353-1214 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2020, Jul 27, 2020 (2 updates tracked since 2020).

About Nathan Daniel Bennington D.o. NPPES

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

NATHAN DANIEL BENNINGTON D.O. (NPI 1972777589) is an individual diagnostic radiology provider in Portsmouth, Ohio, licensed in Ohio (34009515) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1972777589
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNATHAN DANIEL BENNINGTONCredential: D.O.
Location Address1805 27TH STPortsmouth, OH 45662-2640
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 353-7900
Fax(740) 353-1214
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2006
Enumeration DateApril 15, 2008
Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1972777589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in OH · 34009515✔ Licensed in GU · DOC-034
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1805 27TH ST, Portsmouth, OH 45662

Other Identifiers 2

Medicaid7100287200KY
Medicaid0054574OH

Accepted 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

Nathan Daniel Bennington D.o. 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 ID2668641820
PECOS Enrollment IDI20110805000062, I20190419000414, I20240423000796, I20240911002856, I20260219002976
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

29

Medicare enrollment records show Nathan Bennington reassigns Medicare billing to 29 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 34 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
476 LIBERTY ROAD
West Liberty, KY 41472
  • Reassigned Medicare billing, Ohio enrollment
  • 22 clinicians in this Medicare group
Diagnostic Radiology
625 JAMES TRIMBLE BLVD
Paintsville, KY 41240
  • Reassigned Medicare billing, Ohio enrollment
  • 15 clinicians in this Medicare group
Diagnostic Radiology
122 PINNELL ST # 720
Ripley, WV 25271
  • Reassigned Medicare billing, Ohio enrollment
  • 14 clinicians in this Medicare group
Diagnostic Radiology
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, Ohio enrollment
  • 29 clinicians in this Medicare group
Rural Health
660A S MAIN ST
Madison, WV 25130
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1639135221 (West Virginia)
  • 159 clinicians in this Medicare group
Clinical Pathology/Laboratory Medicine
11203 MAIN ST
Martin, KY 41649
  • Reassigned Medicare billing, Ohio enrollment
  • 20 clinicians in this Medicare group
Diagnostic Radiology
3525 OLENTANGY RIVER RD, STE 5360
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 172 clinicians in this Medicare group
Critical Access
401 6TH AVE
Montgomery, WV 25136
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
149 mi
Orthopaedic Surgery
6420 DUTCHMANS PKWY STE 160
Louisville, KY 40205
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group

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 101

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,998 services1,729 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
1,887 services1,849 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
1,222 services1,198 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
876 services847 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
784 services751 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
666 services654 patients

Hospital Affiliations CMS Care Compare 5

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Summa Western Reserve Hospital

Acute Care Hospitals · Cuyahoga Falls, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360150
Location1900 23rd StreetCuyahoga Falls, OH 44223 · Summit County
Emergency services

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU
OwnershipVoluntary non-profit - Private
CMS Certification Number650003
Location133 Route 3Dededo, GU 96929 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

83.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%681 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%311 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Pathology (Anatomic Pathology & Clinical Pathology)
1805 27TH ST
PORTSMOUTH, OH 45662
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662

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 Nathan Bennington's NPI number?

The NPI number for Nathan Bennington is 1972777589. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Nathan Bennington located?

Nathan Bennington practices at 1805 27th St, Portsmouth, OH 45662. The listed phone number is (740) 356-8117.

What is Nathan Bennington's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nathan Bennington enrolled in Medicare?

Yes. Nathan Bennington 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 Nathan Bennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Bennington reassigns Medicare benefits to 29 organizations: Somc Medical Care Foundation, Inc. (Portsmouth, OH), Appalachian Regional Healthcare, Inc. (West Liberty, KY), Arh Tug Valley Health Services, Inc. (Paintsville, KY), Premier Imaging And Intervention, PLLC (Ripley, WV), West Virginia Radiology Associates PC (Charleston, WV) and 24 more organizations, listed in the Medicare section above. 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 Nathan Bennington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Bennington accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and CareSource and 2 other insurers list Nathan Bennington 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 Nathan Bennington affiliated with any hospitals?

According to CMS data, Nathan Bennington is affiliated with Hazard Arh Regional Medical Center, Southern Ohio Medical Center, Marietta Memorial Hospital, Summa Western Reserve Hospital and Guam Regional Medical City.

When was this NPI record last updated?

The NPPES record for Nathan Bennington was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.