DR. BREANNA RAQUEL BENJAMIN (DO) – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1447811799
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
510 PHYSICAL MEDICINE AND REHABILITATION in OH
Provider Addresses for DR. BREANNA RAQUEL BENJAMIN (DO)
1 MEDICAL CENTER DR STE 162
STRATFORD, NJ 080841500
Phone:
Type: Mailing
215 W Bowery St Ste 7300
Akron, OH 443081020
Phone: (330) 543-8260
Type: Location
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 366-9211
Fax: (614) 293-1456
Type: Mailing
2050 KENNY RD
COLUMBUS, OH 432213502
Phone: (614) 366-9211
Fax: (614) 293-1456
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $126.
Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.
Last reported payment date: 2024-04-14 • Largest payer in this snapshot: DJO, LLC ($126).
Total Amount
$126
General + Research + Ownership
Payments
1
Total payment records
General Amount
$126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DJO, LLC | $126 |
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: 2024-08-13
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 |
|---|---|---|---|---|
| I20240813004274 | I | Physical Medicine And Rehabilitation | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 08084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| - | OH | |
| Nurse Practitioner | OH | |
| Hospitalist, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Medical Oncology | OH | |
| Medical Oncology | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Nurse Practitioner | OH | |
| H O S P I T A L I S T | OH |
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