DR. BENNIE R III UPCHURCH (MD) – Gastroenterology Physician, NPI 1851342653
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
863 GASTROENTEROLOGY in OH
Provider Addresses for DR. BENNIE R III UPCHURCH (MD)
99 N BRICE RD # N
COLUMBUS, OH 432136510
Phone: (614) 575-2600
Type: Mailing
272 HOSPITAL RD
CHILLICOTHE, OH 456019031
Phone: (740) 779-8530
Fax: (740) 779-8539
Type: Mailing
4439 STATE ROUTE 159 STE 210
CHILLICOTHE, OH 456018207
Phone: (740) 779-8530
Fax: (740) 779-8539
Type: Location
Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States
NEWARK, OH 43055
Phone: (220) 564-4137
Fax: (220) 564-4119
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($91).
Total Amount
$260
General + Research + Ownership
Payments
12
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2003-11-05
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 |
|---|---|---|---|---|
| I20031105000302 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 38 | 37 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | 38 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | 27 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 19 | 19 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 14 | 14 | $0 |
Insurance plans in this area (ZIP 43213)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | OH | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 38 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| - | IL | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NC | |
| Nurse Practitioner | OH |
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