DR. BENJAMIN MCCOMMON M.D.
NPI 1295764306
Psychiatry & Neurology - Psychiatry in New York, NY
About Dr. Benjamin Mccommon M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN MCCOMMON M.D. (NPI 1295764306) is an individual psychiatry provider in New York, New York, licensed in New York (214379) and active in the NPI registry since July 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Benjamin Mccommon M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2012 through July 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mccommon's NPI number?
The NPI number for Benjamin Mccommon is 1295764306. It was assigned to this individual provider in the NPPES registry on July 1, 2006.
Where is Benjamin Mccommon located?
Benjamin Mccommon practices at 635 W 165th St Intensive Outpatient Program, New York, NY 10032. The listed phone number is (212) 305-9758.
What is Benjamin Mccommon's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Benjamin Mccommon enrolled in Medicare?
No. Benjamin Mccommon has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Benjamin Mccommon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Benjamin Mccommon, M.D. · NPI 1295764306
Psychiatry physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 1, 2006.
## Identity
- **NPI:** 1295764306 (Entity type: Individual)
- **Enumerated:** July 1, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 214379 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 635 W 165TH ST, INTENSIVE OUTPATIENT PROGRAM, New York, NY 10032-3724
- **Phone:** (212) 305-9758
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN H78992 (NY); Medicare ID-Type Unspecified 183BM1 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1295764306) · Data from the CMS NPPES public registry.