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

DR. BENJAMIN ALBERT RUBIN MD
NPI 1124294731
Neurological Surgery in Boulder, CO

Active since May 03, 2008PECOS EnrolledAccepts Medicare Assignment
4743 ARAPAHOE AVE STE 100, BOULDER, CO 80303(303) 938-5700 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Mar 27, 2026, Apr 22, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Benjamin Albert Rubin Md NPPES

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

DR. BENJAMIN ALBERT RUBIN MD (NPI 1124294731) is an individual neurological surgery provider in Boulder, Colorado, licensed in Colorado (DR.0054967) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1124294731
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. BENJAMIN ALBERT RUBINCredential: MD
Location Address4743 ARAPAHOE AVE STE 100Boulder, CO 80303-1123
Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 938-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 3, 2008
Last NPPES UpdateOctober 12, 20265 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1124294731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in CO · DR.0054967
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.
4743 ARAPAHOE AVE STE 100, Boulder, CO 80303

Secondary Practice Locations 2

Location 14743 Arapahoe Ave Ste 202Boulder, CO 80303-1128 · Phone (303) 938-5700 · Fax (303) 998-0007
Location 22045 N Franklin StDenver, CO 80205-5437 · Phone (303) 338-4545

Other Identifiers 2

Other028990CO · Kaiser Commercial Number
Medicaid78553741CO

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

Dr. Benjamin Albert Rubin 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 ID6305154279
PECOS Enrollment IDI20150928000786
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Benjamin Rubin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
4743 ARAPAHOE AVE STE 100
Boulder, CO 80303
  • Reassigned Medicare billing, Colorado enrollment
  • 283 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 clinicians in this Medicare group
Neurological Surgery
3501 S CLARKSON ST
Englewood, CO 80113
  • Reassigned Medicare billing, Colorado enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
10350 E DAKOTA AVE
Denver, CO 80247
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Colorado Permanente Medical Group PC
  • 1,715 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,171 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
66%62 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
14%49 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%561 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%752 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%559 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 83% · 193 patients
83%193 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%752 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
16%752 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 234 patients
6%234 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
39%752 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Clinic/Center (Medical Specialty)
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Neurological Surgery
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Nurse Practitioner (Family)
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Physician Assistant (Surgical)
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Neurological Surgery
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Surgery
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Physician Assistant (Surgical)
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303

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 Rubin's NPI number?

The NPI number for Benjamin Rubin is 1124294731. It was assigned to this individual provider in the NPPES registry on May 3, 2008.

Where is Benjamin Rubin located?

Benjamin Rubin practices at 4743 Arapahoe Ave Ste 100, Boulder, CO 80303. The listed phone number is (303) 938-5700.

What is Benjamin Rubin's specialty?

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

Is Benjamin Rubin enrolled in Medicare?

Yes. Benjamin Rubin 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 Rubin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Rubin reassigns Medicare benefits to 4 organizations: Boulder Community Health (Boulder, CO), Denver Health And Hospital Authority (Denver, CO), Neuro On Call PLLC (Englewood, CO) and Colorado Permanente Medical Group, P.C. (Denver, CO). 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 Rubin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Rubin was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.