BENJAMIN CHARLES EPSTEIN D.O., M.A.
NPI 1043376890
Orthopaedic Surgery in Okeechobee, FL

Q: What is Benjamin Epstein's NPI number?

The NPI number for Benjamin Epstein is 1043376890. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Benjamin Epstein's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Epstein was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1924 US HIGHWAY 441 N, OKEECHOBEE, FL 34972(863) 357-0540(863) 357-0546 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Benjamin Charles Epstein D.o., M.a. NPPES

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

BENJAMIN CHARLES EPSTEIN D.O., M.A. (NPI 1043376890) is an individual orthopaedic surgery provider in Okeechobee, Florida, licensed in Florida (OS10817) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lawnwood Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1043376890

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameBENJAMIN CHARLES EPSTEINCredential: D.O., M.A.

Location Address1924 US HIGHWAY 441 NOkeechobee, FL 34972-1922

Mailing Address1924 Us Highway 441 NOkeechobee, FL 34972-1922 · (863) 357-0540 · Fax (863) 357-0546

Phone(863) 357-0540

Fax(863) 357-0546

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1984

Enumeration DateDecember 28, 2006

Last NPPES UpdateOctober 10, 2012

✔ NPI 1043376890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in FL · OS10817

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License OS10817 (FL)

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License OS10817 (FL)

1924 US HIGHWAY 441 N, Okeechobee, FL 34972

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Other Identifiers 6

Medicare UPINF37317NJ

Medicare UPINF37317FL

Medicaid001728600FL

Medicare PINCT684ZFL

Medicaid52280000NJ

Medicare ID-Type Unspecified101446NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.Insurance ›

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 Charles Epstein D.o., M.a. 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 ID5991789026

PECOS Enrollment IDI20100222000158

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 12

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 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.

323 services169 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

227 services70 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

204 services46 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

113 services30 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

57 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

45 services45 patients

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.

36 services29 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

31 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services29 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T

This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.

16 services16 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100246

Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County

Emergency services Birthing friendly

Hca Florida Raulerson Hospital

Acute Care Hospitals · Okeechobee, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100252

Location1796 Hwy 441 NorthOkeechobee, FL 34972 · Okeechobee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34972 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

63%166 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%447 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

THOMAS J MCELLIGOTT MD

Orthopaedic Surgery

1924 US HIGHWAY 441 N
OKEECHOBEE, FL 34972

Okeechobee County (863) 357-0540

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 Epstein's NPI number?

The NPI number for Benjamin Epstein is 1043376890. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Benjamin Epstein located?

Benjamin Epstein practices at 1924 Us Highway 441 N, Okeechobee, FL 34972. The listed phone number is (863) 357-0540.

What is Benjamin Epstein's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Epstein enrolled in Medicare?

Yes. Benjamin Epstein 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.

What insurance does Benjamin Epstein accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Benjamin Epstein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Benjamin Epstein affiliated with any hospitals?

According to CMS data, Benjamin Epstein is affiliated with Hca Florida Lawnwood Hospital and Hca Florida Raulerson Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Epstein was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.