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DR. BENJAMIN CHAN M.D.
NPI 1043574718
Emergency Medicine in Brookfield, CT

Active since June 27, 2012PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
31 OLD ROUTE 7, BROOKFIELD, CT 06804(203) 885-0808(203) 885-0813 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2019, Feb 8, 2017 (2 updates tracked since 2017).

About Dr. Benjamin Chan M.d. NPPES

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

DR. BENJAMIN CHAN M.D. (NPI 1043574718) is an individual emergency medicine provider in Brookfield, Connecticut, licensed in Connecticut (62052) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and maintains a secondary practice location in Mount Kisco.

NPPES Registry Identity

NPI1043574718
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BENJAMIN CHANCredential: M.D.
Location Address31 OLD ROUTE 7Brookfield, CT 06804-1711
Mailing Address400 E Main St, Nwh Ed C/o Carol ForrestMount Kisco, NY 10549-3417 · (914) 666-1254
Phone(203) 885-0808
Fax(203) 885-0813
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2012
Enumeration DateJune 27, 2012
Last NPPES UpdateOctober 7, 20192 updates tracked since enumeration
✔ NPI 1043574718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CT · 62052✔ Licensed in NY · 282522
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
31 OLD ROUTE 7, Brookfield, CT 06804
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Secondary Practice Location 1

Location 1400 E Main St, NWH ED c/o Carol ForrestMount Kisco, NY 10549-3417 · Phone (914) 666-1254

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

Dr. Benjamin Chan 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 ID8628374196
PECOS Enrollment IDI20160309000940
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 9

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.
138 services134 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
67 services67 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.
58 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
44 services44 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
41 services40 patients

Hospital Affiliations CMS Care Compare

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

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06804 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MICHAEL PALUMBO FNP
Nurse Practitioner (Family)
31 OLD ROUTE 7
BROOKFIELD, CT 06804
Western Connecticut Planning Region (860) 650-3848
KIMBERLY CARR APRN
Nurse Practitioner (Family)
31 OLD ROUTE 7
BROOKFIELD, CT 06804
Western Connecticut Planning Region (475) 253-2599
KENNETH ROBERT HOFFMAN D.AC., L.AC.
Acupuncturist
31 OLD ROUTE 7
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 740-9300
ROLINDA MITCHELL APRN
Nurse Practitioner
31 OLD ROUTE 7
BROOKFIELD, CT 06804
Western Connecticut Planning Region (781) 817-4676
DR. LARRY STEPHEN WASSER M.D.
Internal Medicine (Pulmonary Disease)
31 OLD ROUTE 7, STE 1A
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 740-2881
AMARA PRIMARY CARE LLC
Family Medicine
31 OLD ROUTE 7
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 740-4455
MS. JENNIFER LOUISE KALOUPEK ATC
Specialist/Technologist (Athletic Trainer)
31 OLD ROUTE 7
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 740-0020
DR. JEANNIE M KENKARE DO
Family Medicine
31 OLD ROUTE 7
BROOKFIELD, CT 06804
Western Connecticut Planning Region (203) 885-0808

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 Chan's NPI number?

The NPI number for Benjamin Chan is 1043574718. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Benjamin Chan located?

Benjamin Chan practices at 31 Old Route 7, Brookfield, CT 06804. The listed phone number is (203) 885-0808.

What is Benjamin Chan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Chan enrolled in Medicare?

Yes. Benjamin Chan 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 Chan affiliated with any hospitals?

According to CMS data, Benjamin Chan is affiliated with Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Chan was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.