BENJAMIN M BROWN MD
NPI 1235216094
Hospitalist in Waterville, ME

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
149 NORTH ST, WATERVILLE, ME 04901(207) 872-1270(207) 872-1831 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin M Brown Md NPPES

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

BENJAMIN M BROWN MD (NPI 1235216094) is an individual hospitalist provider in Waterville, Maine, licensed in Maine (016862) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Eastern Virginia Medical School (2002).

NPPES Registry Identity

NPI1235216094
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBENJAMIN M BROWNCredential: MD
Location Address149 NORTH STWaterville, ME 04901-4974
Mailing Address149 North StWaterville, ME 04901-4974 · (207) 872-1270 · Fax (207) 872-1831
Fax(207) 872-1831
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2002
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 21, 2009
NPI 1235216094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in ME · 016862
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

149 NORTH ST, Waterville, ME 04901

Other Identifiers 4

Medicare UPINI37819ME
Medicaid431920699ME
Medicare PINME146001
Other0149866Cigna

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

Benjamin M Brown 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 ID8729019534
PECOS Enrollment IDI20050822000901
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 6

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.
133 services77 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.
77 services44 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.
52 services45 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.
44 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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.

Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress E0301
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$135.59 avg. paid by Medicare
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
1 supplier14 claims14 services$99.11 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 20

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

Family Medicine
149 NORTH ST
WATERVILLE, ME 04901
Anesthesiology
149 NORTH ST
WATERVILLE, ME 04901
Nurse Practitioner
149 NORTH ST
WATERVILLE, ME 04901
Nurse Anesthetist, Certified Registered
149 NORTH ST
WATERVILLE, ME 04901
Internal Medicine
149 NORTH ST
WATERVILLE, ME 04901
Physical Therapist
149 NORTH ST
WATERVILLE, ME 04901
Nurse Practitioner
149 NORTH ST
WATERVILLE, ME 04901
Internal Medicine (Pulmonary Disease)
149 NORTH ST
WATERVILLE, ME 04901

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 Brown's NPI number?

The NPI number for Benjamin Brown is 1235216094. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Benjamin Brown located?

Benjamin Brown practices at 149 North St, Waterville, ME 04901. The listed phone number is (207) 872-1270.

What is Benjamin Brown's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Benjamin Brown enrolled in Medicare?

Yes. Benjamin Brown 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 Benjamin Brown affiliated with any hospitals?

According to CMS data, Benjamin Brown is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Brown was last updated on October 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.