ROBERT E BENTON MD
NPI 1205820727
Internal Medicine - Cardiovascular Disease in Troy, NY

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
80.06/100
CMS Quality Rating
2231 BURDETT AVE, #160 CAPITAL CARDIOLOGY ASSOCIATES PC, TROY, NY 12180(518) 292-6200(518) 292-6228 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert E Benton Md NPPES

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

ROBERT E BENTON MD (NPI 1205820727) is an individual cardiovascular disease provider in Troy, New York, licensed in New York (175324) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of University Of Vermont College Of Medicine (1987).

NPPES Registry Identity

NPI1205820727
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROBERT E BENTONCredential: MD
Location Address2231 BURDETT AVE, #160 CAPITAL CARDIOLOGY ASSOCIATES PCTroy, NY 12180-2466
Mailing Address7 Southwoods Blvd, Capital Cardiology Associates PcAlbany, NY 12211-2526 · (518) 292-6000 · Fax (518) 292-6050
Fax(518) 292-6228
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1987
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJanuary 30, 2015
NPI 1205820727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 175324
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2231 BURDETT AVE, Troy, NY 12180

Other Identifiers 6

Medicaid2011646MA
Medicare UPING45223NY
Medicaid1007042VT
Other060067419NY · Rr Medicare
Medicaid01830780NY
Medicare PINCC8760NY

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

Robert E Benton 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 ID9436184785
PECOS Enrollment IDI20051005000722
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 46

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, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
7,100 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
2,003 services1,097 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
848 services661 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.
755 services605 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
677 services178 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
606 services169 patients

Hospital Affiliations CMS Care Compare 4

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

80.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.13
Improvement Activities40
Cost60.81

Reported Quality Measures

Controlling High Blood Pressure
75%469 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
62%37 patients3/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
79%504 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%5,021 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%3,010 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%1,614 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 67% · 895 patients
Patients screened: 67% · 895 patients
99%113 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%1,187 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
63%1,988 patients3/55-star benchmark: 91%
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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims34 services$61.08 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 14

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

Nurse Practitioner (Acute Care)
2231 BURDETT AVE, STE 160
TROY, NY 12180
Internal Medicine (Cardiovascular Disease)
2231 BURDETT AVE, STE 160
TROY, NY 12180
Internal Medicine
2231 BURDETT AVE, SUITE 120
TROY, NY 12180
Surgery
2231 BURDETT AVE, SUITE 130
TROY, NY 12180
Surgery
2231 BURDETT AVE, SUITE 130
TROY, NY 12180
Internal Medicine
2231 BURDETT AVE, SUITE 120
TROY, NY 12180
Internal Medicine (Cardiovascular Disease)
2231 BURDETT AVE, STE 160
TROY, NY 12180
Internal Medicine (Cardiovascular Disease)
2231 BURDETT AVE, STE 160
TROY, NY 12180

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 Robert Benton's NPI number?

The NPI number for Robert Benton is 1205820727. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Robert Benton located?

Robert Benton practices at 2231 Burdett Ave #160 Capital Cardiology Associates PC, Troy, NY 12180. The listed phone number is (518) 292-6200.

What is Robert Benton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Benton enrolled in Medicare?

Yes. Robert Benton 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.

Is Robert Benton affiliated with any hospitals?

According to CMS data, Robert Benton is affiliated with Albany Medical Center Hospital, St Peter's Hospital, Samaritan Hospital Of Troy, New York and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Robert Benton was last updated on January 30, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.