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DR. BENJAMIN HAMBRO MD
NPI 1205399052
Internal Medicine in Novato, CA

Active since April 09, 2019PECOS Enrolled
75.1/100
CMS Quality Rating
75 ROWLAND WAY, SUITE 230, NOVATO, CA 94945(415) 897-5171(415) 892-1611 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 28, 2022, Apr 9, 2019 (2 updates tracked since 2019).

About Dr. Benjamin Hambro Md NPPES

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

DR. BENJAMIN HAMBRO MD (NPI 1205399052) is an individual internal medicine provider in Novato, California, licensed in California (A179951) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (2017).

NPPES Registry Identity

NPI1205399052
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BENJAMIN HAMBROCredential: MD
Location Address75 ROWLAND WAY, SUITE 230Novato, CA 94945-3306
Mailing Address75 Rowland Way, Suite 230Novato, CA 94945-3306 · (415) 897-5171 · Fax (415) 892-1611
Phone(415) 897-5171
Fax(415) 892-1611
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2017
Enumeration DateApril 9, 2019
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
✔ NPI 1205399052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A179951
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
75 ROWLAND WAY, Novato, CA 94945
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Hambro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254700818
PECOS Enrollment IDI20221205000673
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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,080 services13 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.
660 services364 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
239 services239 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
68 services68 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
66 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 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
$154.04 typical visit price
range $69.07 – $202.63
Typical copayment $38.51 (range $17.26 – $50.65)
Most-billed visit code 99204
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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.

75.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability78
Improvement Activities40
Cost57.33

Other Providers at the Same Location NPPES 8

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

MARIN HEALTHCARE DISTRICT
Surgery (Vascular Surgery)
75 ROWLAND WAY, SUITE 101
NOVATO, CA 94945
Marin County (415) 493-4944
PRIMA MEDICAL FOUNDATION
Obstetrics & Gynecology
75 ROWLAND WAY, SUITE 275
NOVATO, CA 94945
Marin County (415) 461-7800
BARBARA FINZEN M.D.
Internal Medicine
75 ROWLAND WAY, STE 100
NOVATO, CA 94945
Marin County (415) 897-9664
PRIMA MEDICAL FOUNDATION
General Practice
75 ROWLAND WAY, SUITE 100
NOVATO, CA 94945
Marin County (415) 897-9664
LORETTA MARIE ALIMAM FNP
Nurse Practitioner (Family)
75 ROWLAND WAY
NOVATO, CA 94945
Marin County (415) 897-9664
PRIMA MEDICAL FOUNDATION
Internal Medicine
75 ROWLAND WAY, #100
NOVATO, CA 94945
Marin County (415) 897-9664
KERRY ROBINSON FELLOWS RN, NP
Nurse Practitioner (Acute Care)
75 ROWLAND WAY
NOVATO, CA 94945
Marin County (628) 336-5205
DR. HORACE B NEWHARD M.D.
Family Medicine
75 ROWLAND WAY, 100
NOVATO, CA 94945
Marin County (415) 897-9664

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 Hambro's NPI number?

The NPI number for Benjamin Hambro is 1205399052. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Benjamin Hambro located?

Benjamin Hambro practices at 75 Rowland Way Suite 230, Novato, CA 94945. The listed phone number is (415) 897-5171.

What is Benjamin Hambro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Benjamin Hambro enrolled in Medicare?

Yes. Benjamin Hambro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Hambro was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.