DR. BENSON CHEN M.D.
NPI 1306906722
Ophthalmology in Bellevue, WA

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12600 SE 38TH ST, #108, BELLEVUE, WA 98006(425) 298-5005 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Benson Chen M.d. NPPES

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

DR. BENSON CHEN M.D. (NPI 1306906722) is an individual ophthalmology provider in Bellevue, Washington, licensed in Washington (MD00047239) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Chicago College Of Medicine And Surgery (2001).

NPPES Registry Identity

NPI1306906722
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BENSON CHENCredential: M.D.
Location Address12600 SE 38TH ST, #108Bellevue, WA 98006-6105
Mailing Address12600 Se 38th St, #108Bellevue, WA 98006-6105 · (425) 298-5005
Sole ProprietorYes
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2001
Enumeration DateDecember 8, 2006
Last NPPES UpdateApril 10, 2012
NPI 1306906722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in WA · MD00047239
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.

12600 SE 38TH ST, Bellevue, WA 98006

Other Identifiers 2

Medicaid2000274WA
Other1306906722WA · Npi

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

Dr. Benson Chen 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 ID6800943747
PECOS Enrollment IDI20090413000304
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 18

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.
445 services271 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).
381 services262 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
264 services209 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.
115 services101 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
79 services79 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
74 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98006 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost100

Reported Quality Measures

Diabetes: Eye Exam
100%256 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,832 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
97%367 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%29 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%217 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%200 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 908 patients
Patients totalRate: 0% · 908 patients
0%908 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Dentist (Pediatric Dentistry)
12600 SE 38TH ST, SUITE 110
BELLEVUE, WA 98006
Marriage & Family Therapist
12600 SE 38TH ST, #130
BELLEVUE, WA 98006
Community/Behavioral Health
12600 SE 38TH ST, SUITE 130
BELLEVUE, WA 98006
Psychologist
12600 SE 38TH ST, SUITE 235
BELLEVUE, WA 98006
Ophthalmology
12600 SE 38TH ST, SUITE 108
BELLEVUE, WA 98006
Dentist (Oral and Maxillofacial Surgery)
12600 SE 38TH ST, STE 100
BELLEVUE, WA 98006
Chiropractor (Nutrition)
12600 SE 38TH ST, #226
BELLEVUE, WA 98006
Naturopath
12600 SE 38TH ST, SUITE 130
BELLEVUE, WA 98006

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 Benson Chen's NPI number?

The NPI number for Benson Chen is 1306906722. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Benson Chen located?

Benson Chen practices at 12600 SE 38th St #108, Bellevue, WA 98006. The listed phone number is (425) 298-5005.

What is Benson Chen's specialty?

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

Is Benson Chen enrolled in Medicare?

Yes. Benson Chen 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 Benson Chen accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Benson Chen 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 Benson Chen was last updated on April 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.