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JEROME V BENZ DO
NPI 1104813468
Ophthalmology in York, PA

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
52.52/100
CMS Quality Rating
1880 KENNETH RD STE 1, YORK, PA 17408(717) 767-2000(717) 767-2013 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2026, Feb 5, 2025 (2 updates tracked since 2025).

About Jerome V Benz Do NPPES

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

JEROME V BENZ DO (NPI 1104813468) is an individual ophthalmology provider in York, Pennsylvania, licensed in Pennsylvania (OS013230) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Memorial, and is a graduate of Philadelphia College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1104813468
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJEROME V BENZCredential: DO
Location Address1880 KENNETH RD STE 1York, PA 17408-6344
Mailing Address2661 Riva Rd Ste 1030Annapolis, MD 21401-7131 · (667) 354-5528
Phone(717) 767-2000
Fax(717) 767-2013
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1997
Enumeration DateOctober 3, 2005
Last NPPES UpdateMarch 21, 20262 updates tracked since enumeration
NPPES CertifiedMarch 21, 2026
✔ NPI 1104813468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · OS013230
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1880 KENNETH RD STE 1, York, PA 17408
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Other Identifiers 1

Medicaid07734340PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Jerome V Benz Do 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 ID6305804873
PECOS Enrollment IDI20041230000082
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 11

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.

Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
414 services250 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
391 services232 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.
358 services314 patients
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.
211 services211 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
191 services125 patients
Creation of eye fluid drainage tracts in iris using a laser, per session 66761
This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.
31 services17 patients

Hospital Affiliations CMS Care Compare

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

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17408 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

52.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost25.08

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IJEOMA ONYEJIUKWA O.D.
Optometrist
1880 KENNETH RD STE 1
YORK, PA 17408
York County (717) 767-2000
MONIKA SINGH MD
Ophthalmology
1880 KENNETH RD STE 1
YORK, PA 17408
York County (717) 767-2000
VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
Ophthalmology
1880 KENNETH RD STE 1
YORK, PA 17408
York County (717) 767-2000
SO RI PARK DOCTOR OF OPTOMETRY
Optometrist
1880 KENNETH RD STE 1
YORK, PA 17408
York County (717) 767-2000

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 Jerome Benz's NPI number?

The NPI number for Jerome Benz is 1104813468. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Jerome Benz located?

Jerome Benz practices at 1880 Kenneth Rd Ste 1, York, PA 17408. The listed phone number is (717) 767-2000.

What is Jerome Benz's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jerome Benz enrolled in Medicare?

Yes. Jerome Benz 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 Jerome Benz accept?

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

According to CMS data, Jerome Benz is affiliated with Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Jerome Benz was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.