BENJAMIN TRACY WALDORF MD
NPI 1285945253
Urology in Chattanooga, TN

Active since June 24, 2010PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
979 E 3RD ST STE C-925, CHATTANOOGA, TN 37403(423) 778-5910(423) 778-5915 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2019, Mar 21, 2017, Mar 15, 2017 and 1 more (4 updates tracked since 2016).

About Benjamin Tracy Waldorf Md NPPES

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

BENJAMIN TRACY WALDORF MD (NPI 1285945253) is an individual urology provider in Chattanooga, Tennessee, licensed in Tennessee (55292) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of North Carolina Medical School (2010).

NPPES Registry Identity

NPI1285945253
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameBENJAMIN TRACY WALDORFCredential: MD
Location Address979 E 3RD ST STE C-925Chattanooga, TN 37403-2136
Mailing Address979 E 3rd St Ste C-925Chattanooga, TN 37403-2136 · (423) 778-5910 · Fax (423) 778-5915
Fax(423) 778-5915
Sole ProprietorNo
Medical School CMSNorth Carolina Medical SchoolGraduated 2010
Enumeration DateJune 24, 2010
Last NPPES UpdateJuly 31, 20194 updates tracked since enumeration
NPI 1285945253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TN · 55292
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
979 E 3RD ST STE C-925, Chattanooga, TN 37403

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 Tracy Waldorf 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 ID5597058255
PECOS Enrollment IDI20170726002707
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 13

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.
94 services78 patients
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.
87 services87 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.
45 services39 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
36 services36 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
35 services35 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
35 services30 patients

Hospital Affiliations CMS Care Compare

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

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier21 claims2,790 services$1.55 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier30 claims3,810 services$5.23 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers34 claims101 services$8.00 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
2 suppliers19 claims550 services$7.84 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims625 services$0.23 avg. paid by Medicare
Appliance cleaner, incontinence and ostomy appliances, per 16 oz. A5131
DME-Orthotic Devices · category DF000N
2 suppliers14 claims14 services$13.90 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 4

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

Urology (Urogynecology and Reconstructive Pelvic Surgery)
979 E 3RD ST STE C-925
CHATTANOOGA, TN 37403
Nurse Practitioner
979 E 3RD ST STE C-925
CHATTANOOGA, TN 37403
Nurse Practitioner (Family)
979 E 3RD ST STE C-925
CHATTANOOGA, TN 37403
Urology
979 E 3RD ST STE C-925
CHATTANOOGA, TN 37403

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 Waldorf's NPI number?

The NPI number for Benjamin Waldorf is 1285945253. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Benjamin Waldorf located?

Benjamin Waldorf practices at 979 E 3rd St Ste C-925, Chattanooga, TN 37403. The listed phone number is (423) 778-5910.

What is Benjamin Waldorf's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Benjamin Waldorf enrolled in Medicare?

Yes. Benjamin Waldorf 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 Waldorf accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Benjamin Waldorf 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 Waldorf affiliated with any hospitals?

According to CMS data, Benjamin Waldorf is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Waldorf was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.