DR. BENJAMIN M PIPERNO MD
NPI 1144287459
Surgery in Jacksonville, FL

Q: What is Benjamin Piperno's NPI number?

The NPI number for Benjamin Piperno is 1144287459. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Benjamin Piperno's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Piperno was last updated on June 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment

84.75/100

CMS Quality Rating

14540 OLD SAINT AUGUSTINE RD, SUITE 2571, JACKSONVILLE, FL 32258(904) 886-2251(904) 886-7151 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Benjamin M Piperno Md NPPES

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

DR. BENJAMIN M PIPERNO MD (NPI 1144287459) is an individual surgery provider in Jacksonville, Florida, licensed in Florida (ME92324) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1144287459

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. BENJAMIN M PIPERNOCredential: MD

Location Address14540 OLD SAINT AUGUSTINE RD, SUITE 2571Jacksonville, FL 32258-7418

Mailing Address11945 San Jose Blvd, Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893

Phone(904) 886-2251

Fax(904) 886-7151

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateApril 28, 2006

Last NPPES UpdateJune 23, 2020

NPPES CertifiedJune 23, 2020

✔ NPI 1144287459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in FL · ME92324

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

14540 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

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Other Identifiers 6

Other3200862Cigna

Other7340021Aetna

Other296765Avmed

Other03438Bcbs Fl

OtherP00246913FL · Railroad Medicare

Medicaid274942400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Benjamin M Piperno 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 ID9335137819

PECOS Enrollment IDI20050506000108

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 12

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 low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

138 services138 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

131 services105 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.

69 services69 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.

44 services41 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

37 services36 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services19 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

19 services19 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

19 services19 patients

Removal of multiple external noncancer growths of anus 46230

This procedure involves the removal of benign (noncancerous) growths around the anal area. These growths are generally harmless but can cause discomfort. The process is usually performed under local or general anesthesia to ensure patient comfort.

13 services12 patients

Partial release of large bowel and partial removal of large bowel using an endoscope 44213

This procedure involves using an endoscope, a flexible tube with a camera, to partially release and remove a section of your large bowel. It's a minimally invasive surgery that helps treat conditions like cancer or bowel obstruction.

11 services11 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

11 services11 patients

Removal of multiple hemorrhoid groups 46260

This procedure involves removing multiple groups of swollen veins in your lower rectum area. It's usually done under anesthesia. The aim is to alleviate discomfort and prevent complications. Recovery may take a few weeks with specific care instructions to follow.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

84.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

72.28

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

84%608 patients4/55-star benchmark: 100%

Breast Cancer Screening

20%290 patients1/55-star benchmark: 93%

Cervical Cancer Screening

11%306 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

68%118 patients4/55-star benchmark: 87%

Colorectal Cancer Screening

27%690 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

38%47 patients2/55-star benchmark: 91%

Diabetes: Eye Exam

22%23 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%23 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

89%1,651 patients4/55-star benchmark: 100%

e-Prescribing

100%116 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

1%474 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

89%1,181 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%1,190 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

9%1,279 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 869 patients

Patients screened: 98% · 869 patients

76%59 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

94%513 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81%62 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 511 patients

Patients totalRate: 0% · 511 patients

0%511 patients5/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362