DR. KURT T BENHAM MD
NPI 1306952981
Ophthalmology in Wellsville, NY

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
74.49/100
CMS Quality Rating
12 MARTIN ST, WELLSVILLE, NY 14895(585) 593-6041(585) 593-4919 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kurt T Benham Md NPPES

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

DR. KURT T BENHAM MD (NPI 1306952981) is an individual ophthalmology provider in Wellsville, New York, licensed in New York (228407) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Jones Memorial Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (2003).

NPPES Registry Identity

NPI1306952981
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KURT T BENHAMCredential: MD
Location Address12 MARTIN STWellsville, NY 14895-1057
Mailing Address12 Martin StWellsville, NY 14895-1057 · (585) 593-6041 · Fax (585) 593-4919
Fax(585) 593-4919
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2003
Enumeration DateAugust 23, 2006
Last NPPES UpdateSeptember 15, 2010
NPI 1306952981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 228407
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.
12 MARTIN ST, Wellsville, NY 14895

Other Identifiers 3

Medicare UPINH85072
Medicare ID-Type UnspecifiedDD5826
Medicaid02409263NY

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. Kurt T Benham 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 ID5698709327
PECOS Enrollment IDI20050923000190
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 24

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 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.
1,017 services913 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.
731 services391 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
642 services458 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.
569 services318 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
535 services305 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
496 services113 patients

Hospital Affiliations CMS Care Compare 2

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

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14895 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

74.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost14.98

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%144 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers16 claims16 services$48.54 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 14

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

Technician/Technologist (Optician)
12 MARTIN ST
WELLSVILLE, NY 14895
Family Medicine
12 MARTIN ST
WELLSVILLE, NY 14895
Dentist
12 MARTIN ST
WELLSVILLE, NY 14895
Ophthalmology
12 MARTIN ST
WELLSVILLE, NY 14895
Nurse Practitioner (Family)
12 MARTIN ST
WELLSVILLE, NY 14895
Psychologist
12 MARTIN ST, SUITE 3
WELLSVILLE, NY 14895
Radiologic Technologist (Sonography)
12 MARTIN ST
WELLSVILLE, NY 14895
Family Medicine
12 MARTIN ST
WELLSVILLE, NY 14895

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 Kurt Benham's NPI number?

The NPI number for Kurt Benham is 1306952981. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Kurt Benham located?

Kurt Benham practices at 12 Martin St, Wellsville, NY 14895. The listed phone number is (585) 593-6041.

What is Kurt Benham's specialty?

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

Is Kurt Benham enrolled in Medicare?

Yes. Kurt Benham 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 Kurt Benham accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Kurt Benham 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 Kurt Benham affiliated with any hospitals?

According to CMS data, Kurt Benham is affiliated with Jones Memorial Hospital and Olean General Hospital.

When was this NPI record last updated?

The NPPES record for Kurt Benham was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.