BENJAMIN LAM DO
NPI 1114980380
Plastic Surgery in Newtown, PA
About Benjamin Lam Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN LAM DO (NPI 1114980380) is an individual plastic surgery provider in Newtown, Pennsylvania, licensed in Pennsylvania (OS008678L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Benjamin Lam 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.
Medicare Billing Reassignments
4Medicare enrollment records show Benjamin Lam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newtown, PA 18940
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
Langhorne, PA 19047
- Reassigned Medicare billing, Pennsylvania enrollment
- 8 clinicians in this Medicare group
Langhorne, PA 19047
- Reassigned Medicare billing, Pennsylvania enrollment
Langhorne, PA 19047
- Reassigned Medicare billing, Pennsylvania enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Langhorne, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEWTOWN, PA 18940
NEWTOWN, PA 18940
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 Lam's NPI number?
The NPI number for Benjamin Lam is 1114980380. It was assigned to this individual provider in the NPPES registry on April 10, 2006.
Where is Benjamin Lam located?
Benjamin Lam practices at 104 Pheasant Run Suite 123, Newtown, PA 18940. The listed phone number is (215) 702-8600.
What is Benjamin Lam's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Benjamin Lam enrolled in Medicare?
Yes. Benjamin Lam 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.
Which organizations bill Medicare for Benjamin Lam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Lam reassigns Medicare benefits to 4 organizations: Stc Pediatrics LLC (Newtown, PA), Oxygen Oasis Hyperbaric Wellness Center, LLC (Langhorne, PA), Lam Plastic Surgery LLC (Langhorne, PA) and Oxygen Therapurity LLC (Langhorne, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Lam accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Benjamin Lam 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 Lam affiliated with any hospitals?
According to CMS data, Benjamin Lam is affiliated with St Mary Medical Center.
When was this NPI record last updated?
The NPPES record for Benjamin Lam was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Benjamin Lam, DO · NPI 1114980380
Plastic Surgery physician in Newtown, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 10, 2006.
## Identity
- **NPI:** 1114980380 (Entity type: Individual)
- **Enumerated:** April 10, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** OS008678L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 104 PHEASANT RUN, SUITE 123, Newtown, PA 18940-3439
- **Phone:** (215) 702-8600 · **Fax:** (215) 633-3480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Stc Pediatrics LLC (NPI 1336784818, Newtown, PA); Oxygen Oasis Hyperbaric Wellness Center, LLC (NPI 1003239054, Langhorne, PA); Lam Plastic Surgery LLC (NPI 1255873915, Langhorne, PA); Oxygen Therapurity LLC (NPI 1962828673, Langhorne, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 1992
## Record status
- **NPPES last updated:** July 15, 2010
- **Other identifiers:** Medicare UPIN H04510 (PA); Medicare ID-Type Unspecified 747984 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114980380) · Data from the CMS NPPES public registry.