BENSON LOUIS ZOGHLIN M.D.
NPI 1164489803
Family Medicine in Hilton, NY

Q: What is Benson Zoghlin's NPI number?

The NPI number for Benson Zoghlin is 1164489803. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Benson Zoghlin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Benson Zoghlin was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 27, 2006PECOS Enrolled

85.17/100

CMS Quality Rating

279 EAST AVE, HILTON HEALTH CARE, P.C., HILTON, NY 14468(585) 392-9100(585) 392-4020 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Apr 13, 2021, Dec 14, 2020 and 1 more (4 updates tracked since 2019).

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About Benson Louis Zoghlin M.d. NPPES

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

BENSON LOUIS ZOGHLIN M.D. (NPI 1164489803) is an individual family medicine provider in Hilton, New York, licensed in New York (169892) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164489803

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBENSON LOUIS ZOGHLINCredential: M.D.

Location Address279 EAST AVE, HILTON HEALTH CARE, P.C.Hilton, NY 14468-1333

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 392-9100 · Fax (585) 392-6292

Phone(585) 392-9100

Fax(585) 392-4020

Sole ProprietorNo

Enumeration DateApril 27, 2006

Last NPPES UpdateMarch 21, 20234 updates tracked since enumeration

NPPES CertifiedApril 13, 2021

✔ NPI 1164489803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 169892

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 169892 (NY)

279 EAST AVE, Hilton, NY 14468

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Other Identifiers 7

Medicaid01041721NY

Other0009148344001NY · Healthnow

OtherCFP1698927NY · Workers Compensation

Other010169892NY · Blue Choice

OtherMD129DNY · Preferred Care

Other7764326NY · Aetna

Other6950NY · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benson Louis Zoghlin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.

92 services55 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.

21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14468 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

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.

85.17/100

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

Scored as part of a group practice

Quality

70.92

Promoting Interoperability

100

Improvement Activities

Cost

62.98

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

77%86 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

93%99 patients4/55-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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers14 claims47 services$6.84 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$39.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

ROBERT EUGENE BLACKBURN M.D.

Family Medicine

279 EAST AVE, HILTON HEALTH CARE, P.C.
HILTON, NY 14468

Monroe County (585) 392-9100

DR. NILSA MILAGROS MARTINEZ MD

Family Medicine

279 EAST AVE
HILTON, NY 14468

Monroe County (585) 392-9100

RUOXIN WANG PA

Physician Assistant

279 EAST AVE
HILTON, NY 14468

Monroe County (585) 392-9100

DR. MOLLY DINGWALL MD

Family Medicine

279 EAST AVE
HILTON, NY 14468

Monroe County (585) 392-9100

KATHERINE S EXTER FNP

Nurse Practitioner (Family)

279 EAST AVE
HILTON, NY 14468

Monroe County (585) 392-9100

JOSEPHINE ROSEMARIE ELMORE N.P.

Nurse Practitioner (Family)

279 EAST AVE
HILTON, NY 14468

Monroe County (585) 392-6292

SOPHIA DANIEL

Physician Assistant (Medical)

279 EAST AVE
HILTON, NY 14468

Monroe County (585) 392-9100

ERIC AU DO

Family Medicine

279 EAST AVE
HILTON, NY 14468

Monroe County (585) 392-9100

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 Benson Zoghlin's NPI number?

The NPI number for Benson Zoghlin is 1164489803. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Benson Zoghlin located?

Benson Zoghlin practices at 279 East Ave Hilton Health Care, P.C., Hilton, NY 14468. The listed phone number is (585) 392-9100.

What is Benson Zoghlin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benson Zoghlin enrolled in Medicare?

Yes. Benson Zoghlin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benson Zoghlin was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.