Individual provider Active NPI

Benjamin Palmer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clarksville, TN
National Provider Identifier
1164955308
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
283247 Issued in KY
Practice address
135 Chesapeake Lane
104
Clarksville, TN 37040
Phone
(931) 245-1920
Fax
(931) 245-1928
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 935 TN
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 283247 KY Primary

Addresses

Primary practice location

135 Chesapeake Lane
104
Clarksville, TN 37040

Mailing address

135 Chesapeake Lane
104
Clarksville, TN 37040
Phone (931) 245-1920

Other identifiers 1

IdentifierTypeStateIssuer
363366652OtherILPRESENCE ST. JOSEPH HOSPITAL CHICAGO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230331001994 TN Practitioner - Podiatry 8527476548 Reassigns benefits to 1 organization
I20230616000939 KY Practitioner - Podiatry 8527476548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Foot and Ankle Center PLCGroup PAC ID 4284771114, 6 clinicians

Practice addresses (Care Compare)

1910 S Virginia St
Hopkinsville, KY 42240-3692
Phone (931) 245-1920

4230 Harding Pike
Suite G12
Nashville, TN 37205-2018
Phone (931) 245-1920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.9 of 100Reported as group
Quality
57.13
Improvement activities
40
Cost
45.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue116
Removal of skin lesions33
Removal of nail tissue1084
Removal or shaving of skin growth301
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
935TNMDProfessional Counselor
283247KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Foot and Ankle Center, PLC Foot & Ankle Surgery CurrentSince Mar 10, 2023 Accepting new patients

Locations

1910 S Virginia St
Hopkinsville, KY 42240
Phone (270) 707-3454

1910 S Virginia St
Ste 106
Hopkinsville, KY 42240
Phone (270) 889-0282

135 Chesapeake Ln
Ste 104
Clarksville, TN 37040

647 Dunlop Ln
Ste 209
Clarksville, TN 37040
Phone (615) 851-0144

4230 Harding Pike
Ste G12
Nashville, TN 37205
Phone (615) 301-7054

Organizations & group practices 1

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

Hospital & facility affiliations 5

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1164955308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CHESAPEAKE LANE",
            "address_2": "104",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-245-1920",
            "fax_number": "931-245-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CHESAPEAKE LANE",
            "address_2": "104",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-245-1920",
            "fax_number": "931-245-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BENJAMIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "935",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "283247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESENCE ST. JOSEPH HOSPITAL CHICAGO",
            "identifier": "363366652",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.