Active NPI 1801016134 Individual Practitioner Male Practitioner

Benjamin K Fleming , PHYSICIAN ASSISTANT

Physician Assistant • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Benjamin Fleming, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Gainesville, GA. Practice services are available at 1315 JESSE JEWELL PARKWAY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1315 Jesse Jewell Parkway

Gainesville, GA 305013822

Telephone 7702196520

Fax 7702196521

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gainesville, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.4 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

109 Specialists

Practicing in Gainesville, GA (4726 Statewide)

Telehealth Adoption Rate

13.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	61	$175.00	$75.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	405	188	$175.00	$77.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	42	$236.00	$112.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	71	$175.00	$78.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	163	$150.00	$80.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	760	316	$150.00	$64.36
99441 Telephone medical discussion with physician, 5-10 minutes	210	155	$20.29	$20.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$266.00	$104.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	971	400	$150.00	$63.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	138	138	$265.20	$102.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,051	453	$150.00	$62.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$265.00	$102.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	15	$150.00	$38.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	790	316	$150.00	$62.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$265.00	$102.74

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003108143A (GA)

Commercial Insurance / Payer ID Medicare Ptan

202I976846 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Nurse Practitioner

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Doctor of Medicine (M.D.)

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Physician Assistant

Dr. John Frontera , MD

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NPI 1194796268

Doctor of Medicine (M.D.)

Dr. Abigail O'reggio , MD

Psychiatry & Neurology - Neurology

NPI 1245893015

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 23, 2011

Registered at 1315 JESSE JEWELL PARKWAY, GAINESVILLE, GA 305013822 (Tel: 7702196520)

📍

Updated Business Mailing Address June 23, 2011

Registered at 4553 CREEK FOREST CT, LILBURN, GA 30047 (Tel: 7707170158)

👤

Provider Name / Credentials Updated June 23, 2011

Recorded as BENJAMIN FLEMING, PHYSICIAN ASSISTANT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2011

Physician Assistant

🟢

Initial NPI Registration & Enumeration April 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801016134

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 27, 2007

Last Update: June 23, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4553 Creek Forest Ct

Lilburn, GA 30047

Phone: 7707170158

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.