Individual provider Active NPI

Benjamin B Mattingly, MD

  • Emergency Medicine Physician
  • Morehead, KY
National Provider Identifier
1235348194
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
55089 Issued in KY
Practice address
222 Medical Cir
Morehead, KY 40351-1179
Phone
(413) 813-5330
NPI assigned
May 21, 2007
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 231588 MA
Emergency Medicine Physician 207P00000X 55089 KY Primary

Addresses

Primary practice location

222 Medical Cir
Morehead, KY 40351-1179

Mailing address

7100 Christy CRK
Morehead, KY 40351-7658
Phone (134) 813-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV2 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
I20210212001183 KY Practitioner - Emergency Medicine 9234239930 Reassigns benefits to 6 organizations
I20260406001876 WV Practitioner - Emergency Medicine 9234239930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Lafayette, LA 70505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55089KYMDEmergency Medicine Physician
231588MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Ky, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 6, 2023 Accepting new patients
Emergency Medicine Physicians of Estill County,PLLC Emergency Medicine CurrentSince Jun 27, 2023 Accepting new patients
St Claire Medical Center Inc. Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
St Claire Medical Center, Inc CurrentSince Feb 1, 2021 Accepting new patients
Trigg County Hospital, Inc Emergency Medicine CurrentSince Jan 25, 2023 Accepting new patients
Trigg County Hospital, Inc CurrentSince Jan 25, 2023 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
St Claire Medical Center, Inc., Current Accepting new patients
Urgi Center Medical Group CurrentSince Mar 1, 2023 Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

2 Jan Sebastian Dr
Ste 101
Sandwich, MA 02563
Phone (508) 833-2639

273 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 495-8000

Interoperability endpoints

  • Direct secure messaging: benjaminmattingly@arh.medalliesdirect.net

Organizations & group practices 11

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 3

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1235348194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CHRISTY CRK",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403517658",
            "telephone_number": "134-813-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511179",
            "telephone_number": "413-813-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "BENJAMIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "231588",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "55089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.