BENJAMIN VIDALIS M.D.
NPI 1104245562
Neurological Surgery in Santa Fe, NM

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
465 SAINT MICHAELS DR STE 107, SANTA FE, NM 87505(505) 988-3233(505) 988-3562 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin Vidalis M.d. NPPES

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

BENJAMIN VIDALIS M.D. (NPI 1104245562) is an individual neurological surgery provider in Santa Fe, New Mexico, licensed in New Mexico (MD2021-0303) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1104245562
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameBENJAMIN VIDALISCredential: M.D.
Location Address465 SAINT MICHAELS DR STE 107Santa Fe, NM 87505-7690
Mailing AddressMsc 10 5615, University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-3160 · Fax (505) 272-9427
Fax(505) 988-3562
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
NPI 1104245562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NM · MD2021-0303
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

465 SAINT MICHAELS DR STE 107, Santa Fe, NM 87505

Other Names 1

Former Name (1)Benjamin Wilson

Secondary Practice Location 1

Location 1Msc 10 5615, University of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-3160 · Fax (505) 272-9427

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 Vidalis M.d. 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 ID3072732353
PECOS Enrollment IDI20210921002044
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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
87 services87 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.
67 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services39 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
33 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc 22630
This procedure involves the fusion of a lower spine bone and the partial removal of a spine bone or disc from the back. It's done to relieve pain or correct a deformity. One disc is involved in this procedure. Recovery time varies based on individual health.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Vidalis's NPI number?

The NPI number for Benjamin Vidalis is 1104245562. It was assigned to this individual provider in the NPPES registry on April 14, 2014. The provider is also known as Benjamin Wilson.

Where is Benjamin Vidalis located?

Benjamin Vidalis practices at 465 Saint Michaels Dr Ste 107, Santa Fe, NM 87505. The listed phone number is (505) 988-3233.

What is Benjamin Vidalis's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Benjamin Vidalis enrolled in Medicare?

Yes. Benjamin Vidalis 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 Vidalis affiliated with any hospitals?

According to CMS data, Benjamin Vidalis is affiliated with Christus St Vincent Regional Medical Center and Los Alamos Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Vidalis was last updated on September 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.