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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BENJAMIN S. AVNER MD
NPI 1104182302
Internal Medicine - Infectious Disease in Iowa City, IA

Active since April 02, 2012PECOS Enrolled
100/100
CMS Quality Rating
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-1833(319) 356-4600 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 23, 2026, Oct 7, 2020, Jul 10, 2019 (3 updates tracked since 2019).

About Benjamin S. Avner Md NPPES

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

BENJAMIN S. AVNER MD (NPI 1104182302) is an individual infectious disease provider in Iowa City, Iowa, licensed in Iowa (MD-57289) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104182302
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameBENJAMIN S. AVNERCredential: MD
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-1833 · Fax (319) 356-4600
Phone(319) 356-1833
Fax(319) 356-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1104182302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in IA · MD-57289✔ Licensed in MI · 4301500214
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD-57289 (IA)
200 HAWKINS DR, Iowa City, IA 52242
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1540 E Jefferson St Ste 400Iowa City, IA 52245-2479 · Phone (319) 688-7440 · Fax (319) 887-2971
Location 2701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-7740 · Fax (319) 356-3949
Location 3500 E Market StIowa City, IA 52245-2633 · Phone (319) 339-3551 · Fax (319) 248-7945

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Benjamin S. Avner 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 ID5890009492
PECOS Enrollment IDI20190719001619
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.99
Promoting Interoperability100
Improvement Activities40
Cost86.02

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.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Avner's NPI number?

The NPI number for Benjamin Avner is 1104182302. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Benjamin Avner located?

Benjamin Avner practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1833.

What is Benjamin Avner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Benjamin Avner enrolled in Medicare?

Yes. Benjamin Avner 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 Avner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Benjamin Avner 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 Avner affiliated with any hospitals?

According to CMS data, Benjamin Avner is affiliated with Bronson Methodist Hospital, Bronson Battle Creek Hospital, Borgess Medical Center and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Avner was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.