BARRY BENISCH M.D.
NPI 1033291109
Pathology - Cytopathology in Summit, NJ
Quality Rating: 79.68 out of 100 score
NPI Status: Active since October 19, 2006
Contact Information
47 WINCHIP RD
SUMMIT, NJ
ZIP 07901
Phone: (973) 568-7754
Fax: (732) 499-6122
- Individual
- Male
- Pathology
- Cytopathology
About BARRY BENISCH
This page provides the complete NPI Profile along with additional information for Barry Benisch, a provider established in Summit, New Jersey with a medical specialization in Pathology, focusing in cytopathology . The healthcare provider is registered in the NPI registry with number 1033291109 assigned on October 2006. The practitioner's primary taxonomy code is 207ZC0500X with license number MA28211 (NJ). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1033291109
- Provider Name
- BARRY BENISCH M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 47 WINCHIP RD SUMMIT, NJ 07901
- Location Phone
- (973) 568-7754
- Location Fax
- (732) 499-6122
- Mailing Address
- 47 WINCHIP RD SUMMIT, NJ 07901
- Mailing Phone
- (973) 568-7754
- Mailing Fax
- (732) 499-6122
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-19-2006
- Last Update Date
- 05-31-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Cytopathology
- Taxonomy Code
- 207ZC0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MA28211
- License State
- NJ
- Taxonomy Description
- A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | |
| 2 | 207ZB0001X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 3 | 207ZD0900X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 4 | 207ZH0000X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 5 | 207ZI0100X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 6 | 207ZM0300X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 7 | 207ZN0500X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 8 | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 9 | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | 25MF00036600 (NJ) |
| 10 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 11 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | 25MA02821100 (NJ) |
| 12 | 207ZP0104X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
| 13 | 207ZP0105X | Allopathic & Osteopathic Physicians | Pathology | MA28211 (NJ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0745600 | MEDICAID (05) | NJ |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cell examination of specimen, concentration technique
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, limited examination
Pathology examination of tissue using a microscope, limited examination
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately low complexity
Pathology examination of tissue using a microscope, moderately low complexity
Preparation of tissue for examination by removing any calcium present
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to identify organisms including interpretation and report
Special stained specimen slides to identify organisms including interpretation and report
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
This service was performed 29 times for 24 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 616 times for 206 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 3,541 times for 1,016 patientsA pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
This service was performed 16 times for 15 patientsA pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
This service was performed 16 times for 16 patientsA pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
This service was performed 25 times for 18 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 45 times for 44 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 35 times for 30 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 22 times for 21 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 205 times for 75 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 1,446 times for 442 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 83 times for 26 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 310 times for 75 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 135 times for 62 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 1,240 times for 411 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.68, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 79.68 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 59.36
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033291109, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033291109, enumerated as an "individual" on October 19, 2006.
The provider is located at 47 WINCHIP RD SUMMIT, NJ 07901 and the phone number is (973) 568-7754.
Pathology with taxonomy code 207ZC0500X and a focus in Cytopathology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
