MR. BENJAMIN R PROTO DPM
NPI 1073506291
Podiatrist in Newport News, VA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
860 OMNI BLVD, SUITE 113, NEWPORT NEWS, VA 23606(757) 327-0657(757) 327-0658 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Benjamin R Proto Dpm NPPES

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

MR. BENJAMIN R PROTO DPM (NPI 1073506291) is an individual podiatrist in Newport News, Virginia, licensed in Virginia (0103300835) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1073506291
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMR. BENJAMIN R PROTOCredential: DPM
Location Address860 OMNI BLVD, SUITE 113Newport News, VA 23606
Mailing Address860 Omni Blvd, Suite 303Newport News, VA 23606 · (757) 232-8777 · Fax (757) 232-8866
Fax(757) 327-0658
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 23, 2005
Last NPPES UpdateDecember 14, 2016
NPI 1073506291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in VA · 0103300835
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 0103300835 (VA)
860 OMNI BLVD, Newport News, VA 23606

Other Identifiers 7

Medicare PIN015992T25VA
Other394596VA · Mdipa/mamsi Provider Num
Medicare UPINU86239VA
Other58381VA · Optima Provider Number
Medicaid9304797VA
Medicaid1073506291VA
Other236542VA · Anthem Provider Number

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

Mr. Benjamin R Proto Dpm 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 ID749364388
PECOS Enrollment IDI20080221000159
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 26

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.
736 services426 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
653 services389 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
619 services167 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.
372 services285 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.
232 services232 patients
Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604
This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.
200 services89 patients

Hospital Affiliations CMS Care Compare 3

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

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each L3000
DME-Orthotic Devices · category DF000N
2 suppliers13 claims26 services$245.42 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers30 claims30 services$236.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
860 OMNI BLVD, SUITE #203
NEWPORT NEWS, VA 23606
Advanced Practice Midwife
860 OMNI BLVD
NEWPORT NEWS, VA 23606
Physician Assistant
860 OMNI BLVD
NEWPORT NEWS, VA 23606
Internal Medicine (Interventional Cardiology)
860 OMNI BLVD, STE 303
NEWPORT NEWS, VA 23606
Physical Therapist
860 OMNI BLVD, SUITE 203
NEWPORT NEWS, VA 23606
Physical Therapist (Orthopedic)
860 OMNI BLVD, SUITE 303
NEWPORT NEWS, VA 23606
Advanced Practice Midwife
860 OMNI BLVD, STE 110
NEWPORT NEWS, VA 23606
Family Medicine (Sports Medicine)
860 OMNI BLVD, SUITE 203
NEWPORT NEWS, VA 23606

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 Proto's NPI number?

The NPI number for Benjamin Proto is 1073506291. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Benjamin Proto located?

Benjamin Proto practices at 860 Omni Blvd Suite 113, Newport News, VA 23606. The listed phone number is (757) 327-0657.

What is Benjamin Proto's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Benjamin Proto enrolled in Medicare?

Yes. Benjamin Proto 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 Proto affiliated with any hospitals?

According to CMS data, Benjamin Proto is affiliated with Mary Immaculate Hospital, Sentara Williamsburg Regional Medical Center and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Proto was last updated on December 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.