Individual provider Active NPI

Jon Carter Benson, PA-C

  • Physician Assistant
  • Marion, OH
National Provider Identifier
1922030956
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-00-0876 Issued in OH
Practice address
1063 Harding Memorial Pkwy
Marion, OH 43302-6365
Phone
(740) 244-8550
Fax
(740) 751-4584
NPI assigned
Jul 7, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-00-0876 OH Primary

Addresses

Primary practice location

1063 Harding Memorial Pkwy
Marion, OH 43302-6365

Mailing address

1063 Harding Memorial Pkwy
Marion, OH 43302-6365
Phone (740) 244-8550

Other practice location 1

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (419) 294-5887

Other practice location 2

480 Glessner Ave
Mansfield, OH 44903-2056
Phone (419) 526-2600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000886 OH Practitioner - Physician Assistant 3779552724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians
Dermatology Associates of Mid-OhioGroup PAC ID 6901165810, 3 clinicians

Practice addresses (Care Compare)

1063 Harding Memorial Pkwy
Marion, OH 43302-6365
Phone (704) 244-8550

480 Glessner Ave
Suite 4
Mansfield, OH 44903-2056
Phone (419) 526-2600

510 Hill St
Bucyrus, OH 44820-1554
Phone (740) 244-8550

5300 Far Hills Ave
Dayton, OH 45429-2381
Phone (937) 433-7536

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone (740) 244-8550

Merit-based Incentive Payment System (MIPS)

Final score
88.82 of 100Reported as group
Quality
89.34
Improvement activities
40
Cost
76.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bestpractices of West Virginia, Inc. Emergency Medicine Past Accepting new patients
Emergency Professionals of Ohio, Inc. Physician Assistant Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1922030956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 HARDING MEMORIAL PKWY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026365",
            "telephone_number": "740-244-8550",
            "fax_number": "740-751-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 HARDING MEMORIAL PKWY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026365",
            "telephone_number": "740-244-8550",
            "fax_number": "740-751-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 N Sandusky Ave",
            "address_purpose": "LOCATION",
            "city": "Upper Sandusky",
            "state": "OH",
            "postal_code": "433511031",
            "country_code": "US",
            "telephone_number": "419-294-5887",
            "fax_number": "419-294-6777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "480 Glessner Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449032056",
            "country_code": "US",
            "telephone_number": "419-526-2600",
            "fax_number": "419-526-2032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JON",
        "middle_name": "CARTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-00-0876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.