BENJAMIN MARTIN KOTINSLEY (MD) – Diagnostic Radiology Physician, NPI 1104076330
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
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Provider Addresses for BENJAMIN MARTIN KOTINSLEY (MD)
3299, Excalibur Avenue, Westlake, Cuyahoga County, Ohio, 44145, United States
WESTLAKE, OH 441456750
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
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: 2025-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20130708000248 | I | Diagnostic Radiology | SC | TBD |
| I20140716000752 | I | Diagnostic Radiology | GA | TBD |
| I20140925002120 | I | Diagnostic Radiology | OH | TBD |
| I20210402000894 | I | Diagnostic Radiology | MI | TBD |
| I20231020001936 | I | Diagnostic Radiology | MO | TBD |
| I20231030000154 | I | Diagnostic Radiology | IL | TBD |
| I20231116002028 | I | Diagnostic Radiology | TN | TBD |
| I20251105003475 | I | Diagnostic Radiology | KY | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,167 | 1,079 | $0 |
| 70450 | Ct scan head or brain without contrast | 280 | 278 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 228 | 227 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 138 | 138 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 133 | 132 | $0 |
Insurance plans in this area (ZIP 44145)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | OH | 71010 | X-ray of chest, 1 view, front | 212 | 179 |
| DIAGNOSTIC RADIOLOGY | OH | 71250 | CT scan chest | 55 | 55 |
| DIAGNOSTIC RADIOLOGY | OH | 74177 | CT scan of abdomen and pelvis with contrast | 106 | 104 |
| DIAGNOSTIC RADIOLOGY | OH | 76830 | Ultrasound pelvis through vagina | 34 | 34 |
| DIAGNOSTIC RADIOLOGY | OH | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 45 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| - | TN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology, Internal Medicine | KY | |
| Diagnostic Radiology | TN | |
| - | TN | |
| Diagnostic Radiology | TN |
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