BENEDICT AWO (DO) – Family Medicine Physician, NPI 1366980559
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Provider Addresses for BENEDICT AWO (DO)
5040 BRADENTON AVE STE A
DUBLIN, OH 430173524
Phone: (614) 389-5452
Fax: (614) 389-5399
Type: Mailing
204 PATRICK AVE
URBANA, OH 430782302
Phone: (937) 653-3445
Fax: (937) 484-6181
Type: Mailing
30, North 4th Street, Lebanon, Lebanon County, Pennsylvania, 17046, United States
LEBANON, PA 170465606
Phone:
Type: Mailing
2400 Miami Valley Dr
Centerville, OH 454594774
Phone: (937) 208-8394
Type: Location
1 Wyoming St Ste Se3100B
Dayton, OH 454092722
Phone: (937) 208-8394
Type: Location
1 Medical Center Dr
Middletown, OH 450052584
Phone: (513) 974-2111
Type: Location
3130 N County Road 25A
Troy, OH 453731337
Phone: (937) 440-4466
Type: Location
9000 N Main St
Englewood, OH 454151180
Phone: (937) 208-8394
Type: Location
718 N MACOMB ST
MONROE, MI 48162
Phone: (734) 240-1991
Type: Location
5040 BRADENTON AVE STE 3
DUBLIN, OH 430173522
Phone: (614) 389-5452
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $385.
Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($113).
Total Amount
$385
General + Research + Ownership
Payments
7
Total payment records
General Amount
$385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $113 |
| ABBVIE INC. | $109 |
| AstraZeneca Pharmaceuticals LP | $107 |
| Novo Nordisk Inc | $33 |
| PFIZER INC. | $24 |
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: 2021-07-14
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 |
|---|---|---|---|---|
| I20210714000975 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 43017)
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