DR. BENJAMIN RAILE MD
NPI 1093979981
Internal Medicine - Gastroenterology in Flourtown, PA

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
1811 BETHLEHEM PIKE, SUITE C-300, FLOURTOWN, PA 19031(215) 402-0800 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Benjamin Raile Md NPPES

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

DR. BENJAMIN RAILE MD (NPI 1093979981) is an individual gastroenterology provider in Flourtown, Pennsylvania, licensed in Pennsylvania (MD443686) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Phoenixville Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2008).

NPPES Registry Identity

NPI1093979981
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BENJAMIN RAILECredential: MD
Location Address1811 BETHLEHEM PIKE, SUITE C-300Flourtown, PA 19031-1111
Mailing Address1811 Bethlehem Pike, Suite C-300Flourtown, PA 19031-1111 · (215) 402-0800
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2008
Enumeration DateJuly 10, 2008
Last NPPES UpdateNovember 21, 2016
NPI 1093979981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD443686
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1811 BETHLEHEM PIKE, Flourtown, PA 19031

Other Identifiers 2

Medicaid1026453200007PA
Medicare PIN229757LDDPA

Accepted Insurance

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 Raile Md 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 ID9234303025
PECOS Enrollment IDI20111111000642
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 8

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.
75 services64 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
52 services51 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
45 services43 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.
32 services28 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.
17 services17 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19031 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Counselor (Mental Health)
1811 BETHLEHEM PIKE
FLOURTOWN, PA 19031
Counselor (Mental Health)
1811 BETHLEHEM PIKE, SUITES 212/213
FLOURTOWN, PA 19031
Family Medicine
1811 BETHLEHEM PIKE, A108
FLOURTOWN, PA 19031
Social Worker (Clinical)
1811 BETHLEHEM PIKE, STE 214
FLOURTOWN, PA 19031
Counselor
1811 BETHLEHEM PIKE, SUITE 212-213
FLOURTOWN, PA 19031
Counselor (Mental Health)
1811 BETHLEHEM PIKE, 214
FLOURTOWN, PA 19031
Counselor
1811 BETHLEHEM PIKE
FLOURTOWN, PA 19031
Behavior Analyst
1811 BETHLEHEM PIKE, BLDG B-1 SUITE 211
FLOURTOWN, PA 19031

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 Raile's NPI number?

The NPI number for Benjamin Raile is 1093979981. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Benjamin Raile located?

Benjamin Raile practices at 1811 Bethlehem Pike Suite C-300, Flourtown, PA 19031. The listed phone number is (215) 402-0800.

What is Benjamin Raile's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Benjamin Raile enrolled in Medicare?

Yes. Benjamin Raile 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.

What insurance does Benjamin Raile accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Benjamin Raile 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 Raile affiliated with any hospitals?

According to CMS data, Benjamin Raile is affiliated with Phoenixville Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Raile was last updated on November 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.