Doctor profile · Federal record
Dr. Benjamin Dalton, MD
Gastroenterology Physician (CMS: Internal Medicine) · Knoxville, TN
- NPI 1396979936
- Accepts Medicare
- MIPS 92.6 / 100 · 2023
- 17 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1928 Alcoa Hwy, Ste 100
Knoxville, TN 379201502
(865) 305-6570
fax (865) 305-6576 - Mailing address
-
Po Box 440395
Nashville, TN 372440395
Credentials & registration
- NPI registered
- May 2009 — 17 yrs on file
- Profile last updated
- February 15, 2016
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Tennessee #53046
- Medicaid
- TN #Q016273
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396979936. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
511
Distinct HCPCS
10
Medicare allowed
$48,732
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 156 | 128 | $62 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 67 | 63 | $54 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 57 | 57 | $107 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $125 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 40 | 39 | $234 | |
43249 |
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 30 | 29 | $117 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | 23 | $164 | |
91010 |
Study of esophagus to assess movement | 19 | 19 | $59 | |
91037 |
Monitoring and recording of esophageal function through nasal tube with electrode | 18 | 18 | $44 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 18 | 13 | $75 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 176. This provider delivers 2.9× the peer median.Open Payments
Industry payments received
All-time total
$1,923
Transactions
102
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 38 | $690.68 | |
| Janssen Biotech, Inc. | 12 | $231.44 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 16 | $170.51 | |
| Celgene Corporation | 6 | $108.66 | |
| Lilly USA, LLC | 4 | $84.71 | |
| Celltrion USA Inc. | 4 | $76.77 | |
| Gilead Sciences, Inc. | 3 | $73.12 | |
| PFIZER INC. | 4 | $66.89 | |
| Mallinckrodt Hospital Products Inc. | 2 | $56.30 | |
| Merck Sharp & Dohme LLC | 2 | $49.92 | |
| GENZYME CORPORATION | 3 | $49.71 | |
| Ipsen Biopharmaceuticals, Inc | 2 | $34.47 | |
| Organon Llc | 2 | $33.61 | |
| Teva Pharmaceuticals USA, Inc. | 2 | $33.23 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 2 | $32.37 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
860
Patients
278
Total drug cost
$137,908
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 276 | 93 | $6,699 |
| Pantoprazole Sodium | Generic | 152 | 51 | $3,138 |
| Dicyclomine Hcl | Generic | 61 | 12 | $2,414 |
| Spironolactone | Generic | 54 | 13 | $1,225 |
| Sutab (Sod Sulf/Pot Chloride/Mag Sulf) | Brand | 41 | 39 | $6,967 |
| Furosemide | Generic | 36 | 0 | $142 |
| Esomeprazole Magnesium | Generic | 33 | 12 | $3,357 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 32 | 32 | $546 |
| Ondansetron Hcl | Generic | 31 | 0 | $491 |
| Famotidine | Generic | 29 | 14 | $478 |
Hospital affiliations
Frequently asked questions
What is Dr. Benjamin Dalton's medical specialty?
Dr. Benjamin Dalton practices Gastroenterology Physician in Knoxville, TN.
Where does Dr. Benjamin Dalton practice?
Dr. Benjamin Dalton practices at 1928 Alcoa Hwy, Knoxville, TN 379201502. Office phone: 8653056570.
What is Dr. Benjamin Dalton's NPI?
Dr. Benjamin Dalton's National Provider Identifier (NPI) is 1396979936, issued by NPPES.
Does Dr. Benjamin Dalton accept Medicare assignment?
Yes. Dr. Benjamin Dalton accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Benjamin Dalton commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.