Active NPI
Benjamin Palmer, DPM
- Foot & Ankle Surgery Podiatrist
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 283247
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363366652 | Other | IL | PRESENCE ST. JOSEPH HOSPITAL CHICAGO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Amedisys Home Health
- Vanderbilt Clarksville Hospital
- Houston County Community Hospital
- Vanderbilt University Medical Center
- Tristar Horizon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.9 of 100
- Quality
- 57.13
- Improvement activities
- 40
- Cost
- 45.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 116 |
| Removal of skin lesions | 33 |
| Removal of nail tissue | 1084 |
| Removal or shaving of skin growth | 301 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 935 | TN | MD | Professional Counselor |
| 283247 | KY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Foot and Ankle Center, PLC | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Clarksville, TN
- NPI 1932335551
KY
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brentwood, TN
- NPI 1972551794
-
- General Acute Care Hospital
- Dickson, TN
- NPI 1871530832
-
- General Acute Care Hospital
- Clarksville, TN
- NPI 1285689794
-
- Critical Access Hospital
- Erin, TN
- NPI 1811566540
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.