Douglas W. Benkelman, MD
NPI 1518926567ActiveIndividual· Emergency Medicine· Winchester, VA
Emergency Medicine (MD) in Winchester, Virginia, trained at University of Missouri, Columbia School of Medicine (class of 1995). In 2024 Medicare paid $19,937 for 182 patients, and Part D covered 249 of their prescriptions, 87% of them generic.
Overview
| NPI | 1518926567 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 20, 2006 |
| Last updated in NPPES | Jan 27, 2023 |
| Certified by provider | Jan 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 0101233812 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (DC); Practitioner - Emergency Medicine (VA); Practitioner - Emergency Medicine (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 182 |
|---|---|
| Services billed | 224 across 11 procedure codes |
| Paid by Medicare | $19,937 |
Part D prescriptions in 2024
| Prescriptions (claims) | 249 · 310 30-day fills |
|---|---|
| Patients | 117 |
| Total drug cost | $14,313 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | University of Missouri, Columbia School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Emergency Medicine |
Medical group
- City Hospital IncMartinsburg, WV · 161 clinicians
Hospital affiliation
- Berkeley Medical CenterMartinsburg, WV
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Emergency Medicine providers in Winchester
- 1154473304
- 1306806674
- 1518926989
- 1013976083
- 1568421436
- 1972563237
- 1164600961
- 1679532394
- 1255727954
- 1629539960
- 1346209285
- 1477113033