CMS-1500 Box 24J / 33a • NPI
1922030956
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
1063 HARDING MEMORIAL PKWY, MARION, OH, 43302-6365
✓ 9-Digit EDI 837 ZIP+4 (43302-6365)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1922030956 (JON CARTER BENSON, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1922030956)
Medicare Beneficiaries
728
Total Billed Services
3,048
Distinct CPT/HCPCS Codes
58
Medicare Allowed Total
$233,499.92
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11104 | Punch biopsy, first skin growth | 23 |
11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 16 |
11641 | Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm | 14 |
11642 | Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 17 |
13131 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm | 15 |
13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 12 |
17000 | Destruction of precancer skin growth, 1 growth | 474 |
17003 | Destruction of precancer skin growth, 2-14 growths | 364 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Ammonium Lactate Ammonium Lactate | 118 | 68 |
| Azathioprine Azathioprine | 13 | <11 |
| Ciclopirox Ciclopirox | 11 | 11 |
| Clobetasol Propionate Clobetasol Propionate | 304 | 153 |
| Cosentyx (2 Syringes) Secukinumab | 12 | <11 |
| Cosentyx Sensoready (2 Pens) Secukinumab | 29 | <11 |
| Cosentyx Unoready Pen Secukinumab | 11 | <11 |
| Cyproheptadine Hcl Cyproheptadine Hcl | 20 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1922030956 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JON CARTER BENSON, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1063 HARDING MEMORIAL PKWY, MARION, OH, 43302-6365 |
| Practice Telephone / Fax | Tel: (740) 244-8550 | Fax: (740) 751-4584 |
| Administrative Mailing Address | 1063 HARDING MEMORIAL PKWY, MARION, OH, 43302-6365 |
| Enumeration & Last Sync | Enumerated: 2006-07-07 | CMS Record Updated: 2025-06-16 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JON CARTER BENSON, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: OH | License: 50-00-0876 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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