Individual provider Active NPI

Jared Carson Bentley, M.D.

  • Orthopaedic Surgery Physician
  • Portsmouth, OH
National Provider Identifier
1114238805
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.098332 Issued in OH
Practice address
1711 27TH St Ste 102
Portsmouth, OH 45662-2657
Phone
(740) 356-1709
Fax
(740) 353-3027
NPI assigned
Jun 28, 2010
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.098332 OH Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35.098332 OH

Addresses

Primary practice location

1711 27TH St Ste 102
Portsmouth, OH 45662-2657

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other identifiers 1

IdentifierTypeStateIssuer
0077256MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jared.bentley@somc.medicity.net
Direct Messaging Address bentley@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110307000667 OH Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5698957124 Reassigns benefits to 2 organizations
I20160222000041 SC Practitioner - Orthopedic Surgery 5698957124

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1711 27TH St
Portsmouth, OH 45662-2654
Phone (740) 356-1709

2904 Bell St
Suite a
Zanesville, OH 43701-1721
Phone (740) 586-6828

7700 Ohio River Rd
Wheelersburg, OH 45694-1653
Phone (740) 574-4616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement35
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.098332OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC CurrentSince Jan 1, 2025 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Apr 30, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. Orthopaedic Surgery CurrentSince Apr 30, 2018 Accepting new patients

Locations

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1711 27th St
Ste 102
Portsmouth, OH 45662
Phone (740) 356-1709

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

2904 Bell St
Ste A
Zanesville, OH 43701
Phone (740) 586-6828

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

Interoperability endpoints

  • Direct secure messaging: bentleyj@somc.gwaydirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1114238805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 27TH ST STE 102",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622657",
            "telephone_number": "740-356-1709",
            "fax_number": "740-353-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JARED",
        "middle_name": "CARSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.098332",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35.098332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077256",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jared.bentley@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1711 27th St Ste 102",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bentley@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1711 27th St Ste 102",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.