BENJAMIN BARNES (MD) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1760866545
Neuromusculoskeletal Medicine & OMM Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
330 NEUROLOGY in KY
Provider Addresses for BENJAMIN BARNES (MD)
485 SOUTHPOINT DR
LEXINGTON, KY 405154799
Phone: (859) 335-0033
Type: Mailing
800 ROSE ST
WING C, FIRST FLOOR
LEXINGTON, KY 405360001
Phone: (859) 323-5661
Type: Location
800 Rose St
Wing C, First Floor
Lexington, KY 405360001
Phone: (859) 323-5661
Type: Location
1120 15TH ST # OR6000
AUGUSTA, GA 309120004
Phone: (706) 721-3813
Type: Mailing
1120 15TH ST
AUGUSTA, GA 309120001
Phone: (706) 721-3813
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 186 Open Payments records for all available years, with a total value of $9,806.
Total Amount is formed as General ($9,806) + Research ($0) + Ownership ($0) = $9,806.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Biogen, Inc. ($5,361).
Total Amount
$9,806
General + Research + Ownership
Payments
186
Total payment records
General Amount
$9,806
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biogen, Inc. | $5,361 |
| Alexion Pharmaceuticals, Inc. | $696 |
| ABBVIE INC. | $471 |
| ARGENX US, INC. | $437 |
| MITSUBISHI TANABE PHARMA AMERICA, INC. | $243 |
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: 2021-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200608003110 | I | Neurology | GA | TBD |
| I20210816003907 | I | Neurology | SC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 71 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 83 | 65 | $0 |
| 95885 | Needle measurement of electrical activity in arm or leg muscles, limited study | 59 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 50 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 40515)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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