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DR. BENJAMIN C SUN M.D.
NPI 1245287259
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Minneapolis, MN

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
920 E 28TH ST STE 610, SUITE 610, MINNEAPOLIS, MN 55407(612) 863-6900 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin C Sun M.d. NPPES

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

DR. BENJAMIN C SUN M.D. (NPI 1245287259) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Minneapolis, Minnesota, licensed in Minnesota (53753) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1989).

NPPES Registry Identity

NPI1245287259
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. BENJAMIN C SUNCredential: M.D.
Location Address920 E 28TH ST STE 610, SUITE 610Minneapolis, MN 55407-1190
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(612) 863-6900
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1989
Enumeration DateMay 27, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1245287259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in MN · 53753✔ Licensed in MN · 105231
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
920 E 28TH ST STE 610, Minneapolis, MN 55407
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Dr. Benjamin C Sun 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 ID5092613141
PECOS Enrollment IDI20110224000381
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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES

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

VIBHU R KSHETTRY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
920 E 28TH ST STE 610
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-6900

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 Sun's NPI number?

The NPI number for Benjamin Sun is 1245287259. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Benjamin Sun located?

Benjamin Sun practices at 920 E 28th St Ste 610 Suite 610, Minneapolis, MN 55407. The listed phone number is (612) 863-6900.

What is Benjamin Sun's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Benjamin Sun enrolled in Medicare?

Yes. Benjamin Sun 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 Sun accept?

Health plans from HealthPartners and Medica list Benjamin Sun 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.

Is Benjamin Sun affiliated with any hospitals?

According to CMS data, Benjamin Sun is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Sun was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.