Benjamin Memmott, DO
NPI 1043895691ActiveIndividual· Radiology, Diagnostic Radiology· Fort Leonard Wood, MO
Radiology, Diagnostic Radiology (DO) with Premier Imaging LLC, practicing in Fort Leonard Wood, Missouri. Medicare paid $107,333 for services to 573 patients in 2024.
Overview
| NPI | 1043895691 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 16, 2021 |
| Last updated in NPPES | Aug 19, 2026 |
| Certified by provider | Aug 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 2026033961 | MO |
| General Practice | 208D00000X | T9745 | TX |
| Radiology, Diagnostic Radiology | 2085R0202X | 85894 | CT |
| Radiology, Diagnostic Radiology | 2085R0202X | 06392 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CT); Practitioner - Diagnostic Radiology (GA); Practitioner - Diagnostic Radiology (IL); Practitioner - Diagnostic Radiology (KY); Practitioner - Diagnostic Radiology (MI); Practitioner - Diagnostic Radiology (MO); Practitioner - Diagnostic Radiology (NJ); Practitioner - Diagnostic Radiology (NY); Practitioner - General Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 573 |
|---|---|
| Services billed | 1,299 across 4 procedure codes |
| Paid by Medicare | $107,333 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Premier Imaging LLCNorwalk, CT · 46 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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