Active NPI 1992724645 Individual Practitioner Male Practitioner

Dr. Robert Beale , MD

Surgery • Benton, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Beale, MD is a certified Surgery practicing in Benton, KY. With approximately 37 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 1989, Dr. Beale delivers high-quality medical care to the local community at 619 OLD SYMSONIA ROAD.

Dr. Beale is affiliated with Marshall County Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

619 Old Symsonia Road
Suite A

Benton, KY 420255042

Telephone 2705277400

Fax 2705272211

Associated Practice Facility / Clinic

🏢 Benton Medical And Surgical Associates, Psc Facility NPI 1831107499

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Benton, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Benton, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beale (37 Years) 37 Yrs

Benton Specialty Average (37.0 Years) 37.0 Yrs

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
99213 Established patient office or other outpatient visit, typically 15 minutes	262	187	$100.00	$80.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	93	$150.00	$114.40
99283 Emergency department visit with low level of medical decision making	96	92	$145.44	$67.07
99284 Emergency department visit with moderate level of medical decision making	95	90	$276.00	$114.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	51	$75.00	$49.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	57	$225.00	$117.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	29	$92.00	$70.12
99285 Emergency department visit for life threatening or functioning severity	41	38	$405.00	$165.84
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$120.00	$64.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$700.00	$101.25
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	24	24	$750.00	$161.70
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1100.00	$226.98
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$514.00	$233.74
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$500.00	$104.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	379	233	$100.00	$83.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	103	$75.00	$51.99
99284 Emergency department visit with moderate level of medical decision making	122	117	$276.00	$115.96
99283 Emergency department visit with low level of medical decision making	114	107	$147.39	$68.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	87	$150.00	$118.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	34	$92.00	$74.84
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$120.00	$66.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$225.00	$123.06
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$750.00	$170.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	15	$100.00	$69.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$700.00	$112.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1100.00	$236.21
99285 Emergency department visit for life threatening or functioning severity	17	17	$405.00	$168.56
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$200.00	$78.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	378	225	$100.05	$84.92
99283 Emergency department visit with low level of medical decision making	154	142	$145.41	$69.87
99284 Emergency department visit with moderate level of medical decision making	124	118	$275.77	$117.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	102	$150.00	$119.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	90	$75.00	$52.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	38	$92.00	$67.59
99202 New patient office or other outpatient visit, typically 20 minutes	71	71	$120.00	$67.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	55	$225.00	$127.91
99285 Emergency department visit for life threatening or functioning severity	40	38	$405.00	$171.27
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$750.00	$171.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$700.00	$100.07
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1100.00	$241.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$750.00	$174.34
99219 Hospital observation care, typically 50 minutes	13	12	$169.46	$125.42
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1000.00	$174.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	451	249	$100.00	$86.15
99283 Emergency department visit with low level of medical decision making	132	126	$146.27	$69.19
99284 Emergency department visit with moderate level of medical decision making	100	98	$276.00	$118.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	84	$150.00	$122.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	64	$75.26	$52.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	44	$92.00	$68.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	62	$225.00	$129.88
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$120.00	$68.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$700.00	$113.32
99282 Emergency department visit with straightforward medical decision making	40	40	$97.00	$41.70
99285 Emergency department visit for life threatening or functioning severity	36	35	$405.00	$174.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	34	$1100.00	$244.22
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$750.00	$178.04
99219 Hospital observation care, typically 50 minutes	15	15	$169.00	$128.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	11	$100.00	$65.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$175.00	$105.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	358	212	$100.06	$71.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	160	114	$75.00	$42.81
99284 Emergency department visit with moderate level of medical decision making	132	120	$276.00	$117.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	51	$92.00	$70.97
99283 Emergency department visit with low level of medical decision making	90	88	$146.40	$64.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	83	74	$225.00	$135.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	57	$150.00	$104.16
99285 Emergency department visit for life threatening or functioning severity	59	58	$405.00	$170.56
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$120.00	$72.17
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$1100.00	$253.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$700.00	$117.86
99219 Hospital observation care, typically 50 minutes	13	13	$169.00	$134.08
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$500.00	$117.46
47562 Removal of gallbladder using an endoscope	11	11	$2500.00	$653.18
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1000.00	$184.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	376	223	$100.00	$69.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	209	148	$75.00	$41.68
99284 Emergency department visit with moderate level of medical decision making	159	155	$275.82	$112.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	55	$92.00	$69.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	88	$225.00	$131.19
99285 Emergency department visit for life threatening or functioning severity	86	80	$405.00	$166.44
99283 Emergency department visit with low level of medical decision making	73	72	$145.29	$60.19
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$120.00	$71.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	50	$147.50	$101.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	37	$700.00	$120.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$1100.00	$250.99
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$750.00	$177.65
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$987.50	$177.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	14	$100.00	$65.34
99201 New patient office or other outpatient visit, typically 10 minutes	18	18	$100.00	$42.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.00	$101.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$750.00	$181.05
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs	13	13	$212.00	$40.32
10061 Complicated or multiple drainage of skin abscess	12	11	$350.00	$170.87
99219 Hospital observation care, typically 50 minutes	12	12	$169.00	$130.22
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$500.00	$114.60
47562 Removal of gallbladder using an endoscope	11	11	$2500.00	$634.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	362	214	$100.11	$64.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	127	$75.00	$38.37
99285 Emergency department visit for life threatening or functioning severity	125	122	$405.00	$157.59
99284 Emergency department visit with moderate level of medical decision making	115	113	$276.00	$106.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	111	57	$92.07	$65.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	98	$225.00	$123.77
99283 Emergency department visit with low level of medical decision making	100	97	$146.05	$56.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	67	$150.00	$94.43
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$120.00	$66.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	44	44	$1100.00	$237.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	36	$700.00	$122.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$175.00	$95.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$750.00	$170.61
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$1000.00	$172.16
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$500.00	$113.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	12	$100.00	$62.27
10061 Complicated or multiple drainage of skin abscess	16	15	$371.88	$160.81
47562 Removal of gallbladder using an endoscope	16	16	$2500.00	$596.70
36571 Insertion of central venous catheter for infusion with port beneath the skin, patient 5 years or older	13	13	$1500.00	$282.46
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$100.00	$38.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	280	184	$100.00	$63.69
99283 Emergency department visit with low level of medical decision making	186	177	$145.56	$55.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	100	$75.00	$37.55
99284 Emergency department visit with moderate level of medical decision making	135	134	$275.79	$105.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	80	$149.72	$94.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	84	$225.00	$121.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	38	$92.00	$64.53
99202 New patient office or other outpatient visit, typically 20 minutes	62	62	$120.00	$64.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$175.00	$94.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$700.00	$106.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$1100.00	$234.02
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$750.00	$167.80
99285 Emergency department visit for life threatening or functioning severity	24	24	$405.00	$157.31
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$1000.00	$169.82
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$500.00	$101.32
47562 Removal of gallbladder using an endoscope	15	15	$2500.00	$588.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$750.00	$168.31
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$94.55	$37.74

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY KY32012

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64320120 (KY)

Commercial Insurance / Payer ID Rr Medicare

P00386601 (KY)

Commercial Insurance / Payer ID Blue Cross And Blue Shiel

000000386630 (KY)

Commercial Insurance / Payer ID Blue Cross & Blue Shield

000000056871 (KY)

Commercial Insurance / Payer ID Rr Medicare

020030282 (KY)

Hospital & Practice Group Affiliations

Marshall County Hospital District

619 Old Symsonia Rd, Benton, KY 420255042

Marshall County Hospital District

617 Old Symsonia Rd, Benton, KY 420255042

Phone: 2705272411

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2009

Registered at 619 OLD SYMSONIA ROAD, SUITE A, BENTON, KY 420255042 (Tel: 2705277400)

📍

Updated Business Mailing Address September 30, 2009

Registered at 619 OLD SYMSONIA ROAD, SUITE A, BENTON, KY 420255042 (Tel: 2705277400)

👤

Provider Name / Credentials Updated September 30, 2009

Recorded as ROBERT BEALE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2009

Surgery (License #KY32012 in KY)

🟢

Initial NPI Registration & Enumeration July 19, 2006

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: 1992724645

Entity Type:

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

Enumeration Date: July 19, 2006

Last Update: September 30, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

619 Old Symsonia Road, Suite A

Benton, KY 420255042

Phone: 2705277400

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.