Benjamin Jaderholm, D.O.
NPI 1093128027 · Family Medicine Physician · Liberty Lake, WA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Jaderholm, D.O. is a Family Medicine Physician provider in Liberty Lake, WA (NPI 1093128027).
Provider details
- NPI number
- 1093128027
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 58.007627 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,073 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 496 | $127 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 232 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 208 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 76 | $90 |
| Administration of Influenza Virus VaccineG0008 | 29 | $30 |
| Administration of Pneumococcal Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 139 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 553 | 165 |
| Lisinopril | 433 | 130 |
| Rosuvastatin Calcium | 386 | 135 |
| Losartan Potassium | 378 | 113 |
| Levothyroxine Sodium | 361 | 109 |
| Amlodipine Besylate | 354 | 103 |
| Omeprazole |
Practice location
Mailing address
Additional practice locations (2)
- 100 Jackson PikeGallipolis, OH 45631-1560Phone: (855) 446-5937Fax: (740) 446-5448
- 100 Jackson PikeGallipolis, OH 45631-1560Phone: (855) 446-5937Fax: (740) 446-5448
Registry dates
- Enumerated
- 2014-06-06
- Last updated
- 2018-04-27
Frequently asked questions
- What is Benjamin Jaderholm's NPI number?
- Benjamin Jaderholm's National Provider Identifier (NPI) is 1093128027, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Jaderholm's specialty?
- Benjamin Jaderholm is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Jaderholm located?
- Benjamin Jaderholm's practice location on file with NPPES is 1326 N Stanford Ln, Liberty Lake, WA 99019-5034.
- What is Benjamin Jaderholm's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Jaderholm is (509) 838-2531.
- Does Benjamin Jaderholm accept Medicare?
- Benjamin Jaderholm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Jaderholm's NPI active?
- Yes — Benjamin Jaderholm's NPI (1093128027) is active in the NPPES registry as of the last update on 2018-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.