DR. BENJAMIN EDWARD SCHAEFER D.D.S.
NPI 1093172744
Dentist - Oral and Maxillofacial Surgery in Urbana, IL

Q: What is Benjamin Schaefer's NPI number?

The NPI number for Benjamin Schaefer is 1093172744. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Q: What is Benjamin Schaefer's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Schaefer was last updated on July 31, 2020. 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.

Active since January 26, 2016PECOS EnrolledAccepts Medicare Assignment

611 W PARK ST, URBANA, IL 61801(217) 383-3280(217) 383-7071 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 31, 2020, Jul 3, 2019, Jan 26, 2016 (3 updates tracked since 2016).

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About Dr. Benjamin Edward Schaefer D.d.s. NPPES

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

DR. BENJAMIN EDWARD SCHAEFER D.D.S. (NPI 1093172744) is an individual oral and maxillofacial surgery provider in Urbana, Illinois, licensed in Illinois (019032456) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Hahneman Medical College Of The Pacific (2014).

NPPES Registry Identity

NPI1093172744

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. BENJAMIN EDWARD SCHAEFERCredential: D.D.S.

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address611 W Park St, FapcUrbana, IL 61801

Phone(217) 383-3280

Fax(217) 383-7071

Sole ProprietorNo

Medical School CMSHahneman Medical College Of The PacificGraduated 2014

Enumeration DateJanuary 26, 2016

Last NPPES UpdateJuly 31, 20203 updates tracked since enumeration

NPPES CertifiedJuly 31, 2020

✔ NPI 1093172744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in IL · 019032456✔ Licensed in TN · 10975

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 018001918 (IL)

611 W PARK ST, Urbana, IL 61801

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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

Dr. Benjamin Edward Schaefer D.d.s. 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 ID2466781380

PECOS Enrollment IDI20200518000124

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.

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology