NPPES file of Aug 9, 2026

Oliver James Benes, M.D.

Addiction Medicine (Preventive Medicine) Physician · Covington, KY

Oliver James Benes, M.D. is an addiction medicine (preventive medicine) physician with a practice address in Covington, Kentucky, and NPI 1972742963, issued on Feb 13, 2009. Check the license (Kentucky 42910, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1972742963
Name
Oliver James Benes
Credential
M.D.
Primary taxonomy
Addiction Medicine (Preventive Medicine) Physician 2083A0300X
License numbers
42910 KY
01089064A IN
Self-reported in NPPES; status is on the state search
Practice location
20 W 18TH St, Covington, KY 41011
Phone
(859) 757-0717
Enumerated
Feb 13, 2009
Record last updated
Feb 26, 2025
Fax
(859) 331-2425
Medicaid ID
7100153650 KY
Medicare enrollment
Enrolled (PECOS I20250308000145); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 20 W 18TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Andrew Arthur, LMFTMarriage & Family Therapist1013970755
  2. Karlee Daniels, APRNNurse Practitioner1982148961
  3. Matthew Davey, APRNPsychiatric/Mental Health Nurse Practitioner1881325165
  4. Christy Gillespie, LCSWSocial Worker1457597189
  5. Lori Haggard, LISWSocial Worker1407643109
  6. Kasindra Jones, LCSWSocial Worker1306123617

Verify Oliver James Benes in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 42910
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

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44% more Medicare Part D claims than the average addiction medicine (preventive medicine) physician in 2024

605 Medicare Part D claims for 57 beneficiaries, against an average of 420 among the 224 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims.

  1. Oliver Benes605
  2. Specialty average420

Most prescribed

  1. Buprenorphine-Naloxone219 claims
  2. Zubsolv30 claims
  3. Doxepin Hcl26 claims
  4. Vivitrol19 claims
  5. Topiramate18 claims
  6. Venlafaxine Hcl Er18 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 90.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $310.26

16 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 112 providers of this specialty with any payment received $596.46 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Oliver Benes$310.26
  2. Specialty average$596.46

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Summit Medical Group IncAurora, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Addiction Medicine (Preventive Medicine) Physician providers in Kentucky

There are 9 addiction medicine (preventive medicine) physician records in Kentucky.

The 8 addiction medicine (preventive medicine) physician records with the nearest ZIP codes

  1. Aaron Ferda, M.D.Cynthiana, KY 410311265666218
  2. Michael Kindred, MDLexington, KY 405071306996079
  3. Alicia Shirakbari, M.D.Danville, KY 404221447357223
  4. David Anderson, MDLouisville, KY 402721962661488
  5. Julia Schroeder, M.D.Louisville, KY 402181013901040
  6. Kelly Cooper, MDLouisville, KY 402161356509368
  7. Leslie Dally, DOBowling Green, KY 421031306093877
  8. Traci Westerfield, MDOwensboro, KY 423031013930759

Common questions

What is Oliver James Benes, M.D.'s NPI number?

Oliver James Benes, M.D.'s National Provider Identifier (NPI) is 1972742963, issued on Feb 13, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Oliver James Benes, M.D. located?

The NPPES record lists a practice address at 20 W 18TH St, Covington, KY, 41011. Phone: (859) 757-0717. Providers update this record themselves, so call before visiting.

How can I verify Oliver James Benes, M.D.'s license?

NPPES lists Kentucky license number 42910, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Oliver James Benes, M.D. prescribe under Medicare Part D?

In 2024, Oliver James Benes, M.D. had 605 Medicare Part D claims for 57 beneficiaries; the average among addiction medicine (preventive medicine) physician prescribers was 420. Part D covers Medicare prescriptions only.

What is Oliver James Benes, M.D.'s MIPS final score?

The 2023 MIPS final score is 90.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.