BENJAMIN VANDERPOOL PA-C
NPI 1073485447
Physician Assistant in Utica, NY

Q: What is Benjamin Vanderpool's NPI number?

The NPI number for Benjamin Vanderpool is 1073485447. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Benjamin Vanderpool's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 23, 2025PECOS EnrolledAccepts Medicare Assignment

111 HOSPITAL DR, UTICA, NY 13502(315) 917-9966 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Benjamin Vanderpool Pa-c NPPES

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

BENJAMIN VANDERPOOL PA-C (NPI 1073485447) is an individual physician assistant in Utica, New York, licensed in New York (035007) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073485447

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBENJAMIN VANDERPOOLCredential: PA-C

Location Address111 HOSPITAL DRUtica, NY 13502-2517

Mailing Address871 Mapledale RdCassville, NY 13318-1409 · (315) 269-1591

Phone(315) 917-9966

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 23, 2025

Last NPPES UpdateDecember 5, 2025

NPPES CertifiedDecember 5, 2025

✔ NPI 1073485447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 035007

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

111 HOSPITAL DR, Utica, NY 13502

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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 Vanderpool Pa-c 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 ID8426535402

PECOS Enrollment IDI20260121002531

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

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.

MISS JENNA YAGER FNP

Nurse Practitioner (Family)