Active NPI 1649240649 Individual Practitioner Male Practitioner

Dr. Benjamin D Tanner , MD

Surgery • Louisville, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Tanner, MD is a certified Surgery practicing in Louisville, KY. With approximately 30 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1996, Dr. Tanner delivers high-quality medical care to the local community at 1000 DUPONT RD.

Dr. Tanner is affiliated with Community Medical Associates Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, stomach procedure, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 Dupont Rd

Louisville, KY 402074611

Telephone 5028896405

Fax 5028996407

Associated Practice Facility / Clinic

🏢 Community Medical Associates, Inc. Facility NPI 1588614994

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Louisville, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +9.3 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

114 Specialists

Practicing in Louisville, KY (495 Statewide)

Telehealth Adoption Rate

3.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tanner (30 Years) 30 Yrs

Louisville Specialty Average (20.7 Years) 20.7 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	42	27	$215.26	$82.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$314.04	$114.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	30	$207.00	$83.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	23	$305.00	$108.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	30	$207.00	$84.71
43999 Stomach procedure	33	19	$215.00	$102.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	16	$305.00	$121.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$1111.00	$82.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	35	$207.00	$83.60
43999 Stomach procedure	46	25	$215.00	$102.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	26	$305.00	$122.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	22	$1111.00	$96.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	63	$208.21	$70.99
43999 Stomach procedure	52	34	$215.00	$102.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	86	$207.00	$69.04
43999 Stomach procedure	82	40	$215.00	$102.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	20	$1111.00	$132.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$305.00	$103.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$306.00	$98.02
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$3255.00	$1119.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$398.00	$133.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	196	96	$205.00	$67.12
43999 Stomach procedure	92	44	$215.00	$100.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	26	$1111.00	$136.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$305.00	$100.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$468.00	$154.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	82	$205.00	$67.59
43999 Stomach procedure	104	48	$215.00	$100.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$646.25	$123.27
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$295.00	$96.73

Medical Specialties & State Licenses

CMS Verified: 2021-01-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 33097

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

200518160 (IN)

Medicaid State Provider ID

64100811 (KY)

Commercial Insurance / Payer ID Passport - Nhwms

50027318 (KY)

Commercial Insurance / Payer ID Anthem - Nhwms

000000642238 (KY)

Commercial Insurance / Payer ID Humana - Nhwms

000052153C (KY)

Commercial Insurance / Payer ID Passport Advantage - Nhwms

3764333000 (KY)

Commercial Insurance / Payer ID Siho - Nhwms

110964 (KY)

Commercial Insurance / Payer ID Passport

50006995 (KY)

Commercial Insurance / Payer ID Cigna - Nhwms

3945283 (KY)

Hospital & Practice Group Affiliations

Community Medical Associates Inc

1000 Dupont Rd, Louisville, KY 402074611

Phone: 5028996150

Community Medical Associates Inc

4001 Dutchmans Ln, Louisville, KY 402074714

Phone: 5028931270

Community Medical Associates Inc

825 Barret Ave, Louisville, KY 402041743

Phone: 5022725165

Community Medical Associates Inc

10798 Dixie Hwy, Louisville, KY 402724302

Phone: 5025889490

Community Medical Associates Inc

300 High Point Ct, Mount Washington, KY 400476560

Community Medical Associates Inc

1000 Dupont Rd, Louisville, KY 402074611

Phone: 5028996405

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Jeffrey Sharpe , MD

Surgery

NPI 1134124977

Doctor of Medicine (M.D.)

Dr. Jeffrey Allen , MD

Surgery

NPI 1174502728

Doctor of Medicine (M.D.)

Dr. Ana Risse , MD

Family Medicine

NPI 1447455019

Doctor of Medicine (M.D.)

Michael Cole , REGISTERED DIETITIAN

Dietitian, Registered

NPI 1881498863

REGISTEREDDIETITIAN

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 03, 2017

Registered at PO BOX 776351, CHICAGO, IL 606776351 (Tel: 5025889490)

📍

Updated Practice Location February 03, 2017

Registered at 1000 DUPONT RD, LOUISVILLE, KY 402074611 (Tel: 5028896405)

👤

Provider Name / Credentials Updated February 03, 2017

Recorded as BENJAMIN TANNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Surgery (License #33097 in KY)

✅

NPI Profile Active November 04, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2014

Registered at 1000 DUPONT RD, LOUISVILLE, KY 402074611 (Tel: 5028896405)

📍

Updated Business Mailing Address November 04, 2014

Registered at PO BOX 950202, LOUISVILLE, KY 402950202 (Tel: 5025889490)

👤

Provider Name / Credentials Updated November 04, 2014

Recorded as BENJAMIN TANNER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2014

Surgery (License #33097 in KY)

🟢

Initial NPI Registration & Enumeration January 24, 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: 1649240649

Entity Type:

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

Enumeration Date: January 24, 2006

Last Update: January 22, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 776351

Chicago, IL 606776351

Phone: 5025889490

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.