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DR. BENJAMIN JOHN DORFMAN M.D.
NPI 1043697709
Psychiatry & Neurology - Neurology in Cheshire, CT

Active since May 01, 2015PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
280 SOUTH MAIN STREET, SUITE 102, CHESHIRE, CT 06410(860) 870-6385(203) 250-0191 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 19, 2022, Aug 9, 2021, Oct 30, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Benjamin John Dorfman M.d. NPPES

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

DR. BENJAMIN JOHN DORFMAN M.D. (NPI 1043697709) is an individual neurology provider in Cheshire, Connecticut, licensed in Connecticut (69168) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of Rutgers New Jersey Medical School (2015).

NPPES Registry Identity

NPI1043697709
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BENJAMIN JOHN DORFMANCredential: M.D.
Location Address280 SOUTH MAIN STREET, SUITE 102Cheshire, CT 06410
Mailing Address280 South Main Street, Suite 102Cheshire, CT 06410 · (212) 241-5607 · Fax (212) 241-3656
Phone(860) 870-6385
Fax(203) 250-0191
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2015
Enumeration DateMay 1, 2015
Last NPPES UpdateJuly 19, 20224 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1043697709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CT · 69168✔ Licensed in NY · 299901
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
280 SOUTH MAIN STREET, Cheshire, CT 06410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin John Dorfman 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 ID2163833054
PECOS Enrollment IDI20210815000019
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Benjamin Dorfman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hartford Healthcare Medical Group Specialists, PLLC
21 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071
The Charlotte Hungerford Hospital
24 mi
General Acute Care Hospital
540 LITCHFIELD ST
Torrington, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 374 clinicians in this Medicare group
NPI 1629075734 (860) 496-6729

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
334 services229 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.
145 services118 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.
40 services40 patients
Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity 64642
This procedure involves injecting a chemical into specific muscles in your arm or leg, causing temporary paralysis. It targets 1-4 muscles in the first extremity. It's often used to manage conditions that cause muscle spasms or overactivity.
37 services20 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
26 services15 patients
Punch biopsy, each additional skin growth 11105
A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.
25 services13 patients

Hospital Affiliations CMS Care Compare

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06410 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES 5

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

DR. MICHELLE LAVALLEE DAGOSTINE M.D.
Psychiatry & Neurology (Neurology)
280 SOUTH MAIN STREET, SUITE 102
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (860) 870-6385
KENDALL HODGES APRN
Nurse Practitioner (Family)
280 SOUTH MAIN STREET, SUITE 102
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (860) 870-6385
DR. MICHELLE BOBULINSKI PH.D.
Clinical Neuropsychologist
280 SOUTH MAIN STREET, SUITE 102
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (860) 870-6385
DR. DUARTE G. MACHADO M.D.
Psychiatry & Neurology (Neurology)
280 SOUTH MAIN STREET, SUITE 102
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (860) 870-6385
JODI LYNN PECK LCSW
Social Worker (Clinical)
280 SOUTH MAIN STREET, SUITE 102
CHESHIRE, CT 06410
Naugatuck Valley Planning Region (860) 870-6385

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 Dorfman's NPI number?

The NPI number for Benjamin Dorfman is 1043697709. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Benjamin Dorfman located?

Benjamin Dorfman practices at 280 South Main Street Suite 102, Cheshire, CT 06410. The listed phone number is (860) 870-6385.

What is Benjamin Dorfman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Benjamin Dorfman enrolled in Medicare?

Yes. Benjamin Dorfman 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.

Which organizations bill Medicare for Benjamin Dorfman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Dorfman reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and The Charlotte Hungerford Hospital (Torrington, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Dorfman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Dorfman accept?

Health plans from Anthem Blue Cross and Blue Shield list Benjamin Dorfman 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 Dorfman affiliated with any hospitals?

According to CMS data, Benjamin Dorfman is affiliated with Berkshire Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Dorfman was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.