BENJAMIN JON NELSON M.D.
NPI 1023375011
Urology in Newark, NY

Active since April 16, 2012PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1202 DRIVING PARK AVE, NEWARK, NY 14513(315) 359-2690 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2022, Nov 20, 2019, Jul 23, 2018 and 1 more (4 updates tracked since 2018).

About Benjamin Jon Nelson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN JON NELSON M.D. (NPI 1023375011) is an individual urology provider in Newark, New York, licensed in New York (280945) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Newark-wayne Community Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1023375011
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameBENJAMIN JON NELSONCredential: M.D.
Location Address1202 DRIVING PARK AVENewark, NY 14513
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 922-1304
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 16, 2012
Last NPPES UpdateDecember 16, 20224 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
NPI 1023375011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 280945
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1202 DRIVING PARK AVE, Newark, NY 14513

Secondary Practice Locations 4

Location 1601 Elmwood Ave, Box SURGRochester, NY 14642-0001 · Phone (585) 275-2723
Location 26532 Anthony DrVictor, NY 14564-1403 · Phone (585) 398-8253
Location 3200 North StGeneva, NY 14456-1561 · Phone (315) 787-5272
Location 4220 Linden Oaks Ste 100Rochester, NY 14625-2839 · Phone (585) 248-2019 · Fax (585) 586-1755

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Benjamin Jon Nelson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436407756
PECOS Enrollment IDI20180802002847
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
263 services212 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services151 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
141 services114 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
50 services40 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
43 services28 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
42 services20 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

Geneva General Hospital

Acute Care Hospitals · Geneva, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330058
Location196 -198 North StreetGeneva, NY 14456 · Ontario County
Emergency services

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Clifton Springs Hospital And Clinic

Acute Care Hospitals · Clifton Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330265
Location2 Coulter RoadClifton Springs, NY 14432 · Ontario County
Emergency services

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims2,560 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers12 claims2,920 services$1.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
1202 DRIVING PARK AVE
NEWARK, NY 14513
Urology
1202 DRIVING PARK AVE
NEWARK, NY 14513
Physician Assistant (Surgical)
1202 DRIVING PARK AVE
NEWARK, NY 14513
Nurse Practitioner
1202 DRIVING PARK AVE
NEWARK, NY 14513
Urology
1202 DRIVING PARK AVE, SUITE 5
NEWARK, NY 14513
Physician Assistant (Surgical)
1202 DRIVING PARK AVE, STE 5
NEWARK, NY 14513
Social Worker
1202 DRIVING PARK AVE
NEWARK, NY 14513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Nelson's NPI number?

The NPI number for Benjamin Nelson is 1023375011. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Benjamin Nelson located?

Benjamin Nelson practices at 1202 Driving Park Ave, Newark, NY 14513. The listed phone number is (315) 359-2690.

What is Benjamin Nelson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Benjamin Nelson enrolled in Medicare?

Yes. Benjamin Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Benjamin Nelson affiliated with any hospitals?

According to CMS data, Benjamin Nelson is affiliated with Newark-Wayne Community Hospital, Geneva General Hospital, Rochester General Hospital, Clifton Springs Hospital And Clinic and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Nelson was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.