BENJAMIN ALAN KAUFFMAN M.D.
NPI 1245265578
Ophthalmology in Philadelphia, PA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
93.01/100
CMS Quality Rating
8118 BUSTLETON AVE, PHILADELPHIA, PA 19152(215) 342-8118 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Alan Kauffman M.d. NPPES

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

BENJAMIN ALAN KAUFFMAN M.D. (NPI 1245265578) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD429474) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2002).

NPPES Registry Identity

NPI1245265578
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBENJAMIN ALAN KAUFFMANCredential: M.D.
Location Address8118 BUSTLETON AVEPhiladelphia, PA 19152-2803
Mailing Address8118 Bustleton AvePhiladelphia, PA 19152-2803 · (215) 342-8118
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2002
Enumeration DateJuly 12, 2006
Last NPPES UpdateFebruary 23, 2016
NPI 1245265578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD429474
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
8118 BUSTLETON AVE, Philadelphia, PA 19152

Other Identifiers 6

Medicare PIN102898FKSPA
Other057346PA · Aetna
Other30037083PA · Keystone Mercy
Medicaid101732046 0001PA
Other2740362000PA · Ibc
Medicare UPINI57820PA

Accepted 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

Benjamin Alan Kauffman M.d. 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 ID9335143874
PECOS Enrollment IDI20060914000225
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 17

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 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.
731 services427 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.
402 services311 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
390 services180 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
164 services25 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
141 services95 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
128 services123 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19152 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

93.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost70.63

Other Providers at the Same Location NPPES 5

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

Ophthalmology
8118 BUSTLETON AVE
PHILA, PA 19152
Optometrist
8118 BUSTLETON AVE
PHILA, PA 19152
Ophthalmology
8118 BUSTLETON AVE
PHILA, PA 19152
Ophthalmology
8118 BUSTLETON AVE
PHILADELPHIA, PA 19152
Ophthalmology
8118 BUSTLETON AVE
PHILA, PA 19152

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 Kauffman's NPI number?

The NPI number for Benjamin Kauffman is 1245265578. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Benjamin Kauffman located?

Benjamin Kauffman practices at 8118 Bustleton Ave, Philadelphia, PA 19152. The listed phone number is (215) 342-8118.

What is Benjamin Kauffman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Benjamin Kauffman enrolled in Medicare?

Yes. Benjamin Kauffman 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.

What insurance does Benjamin Kauffman accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Benjamin Kauffman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Kauffman was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.