KIMBERLY BENHAM (DO) – Emergency Medicine Physician, NPI 1629303904
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,268 EMERGENCY MEDICINE in IN
Provider Addresses for KIMBERLY BENHAM (DO)
1314 E Walnut St
Washington, IN 475012860
Phone: (812) 254-2760
Fax: (812) 254-9031
Type: Location
Bloomington Post Office, South Walnut Street, Bloomington, Monroe County, Indiana, 47401, United States
BLOOMINGTON, IN 474021329
Phone: (812) 353-3087
Type: Mailing
IU Health Bloomington Hospital, 601, West 2nd Street, Bloomington, Monroe County, Indiana, 47402, United States
BLOOMINGTON, IN 47403
Phone: (812) 353-9515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130103000057 | I | Emergency Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 129 | 125 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 105 | 100 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 61 | 59 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 56 | 55 | $0 |
| 99291 | Critical care, first 30-74 minutes | 48 | 47 | $0 |
Insurance plans in this area (ZIP 47501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Emergency Medicine | IN | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Internal Medicine | IN |
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