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BENJAMIN LEE CALVERT MD
NPI 1316195704
Family Medicine in Newberg, OR

Active since August 28, 2008PECOS EnrolledAccepts Medicare Assignment
1003 PROVIDENCE DR, SUITE 210, NEWBERG, OR 97132(503) 537-5900(503) 537-5959 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Lee Calvert Md NPPES

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

BENJAMIN LEE CALVERT MD (NPI 1316195704) is an individual family medicine provider in Newberg, Oregon, licensed in Oregon (MD153937) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and is a graduate of University Of Maryland School Of Medicine (2008).

NPPES Registry Identity

NPI1316195704
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN LEE CALVERTCredential: MD
Location Address1003 PROVIDENCE DR, SUITE 210Newberg, OR 97132-7521
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 537-5900
Fax(503) 537-5959
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2008
Enumeration DateAugust 28, 2008
Last NPPES UpdateOctober 19, 2020
NPPES CertifiedOctober 19, 2020
✔ NPI 1316195704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD153937
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1003 PROVIDENCE DR, Newberg, OR 97132
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Other Identifiers 2

OtherP01287077OR · Rr Medicare - Ph&s
Medicaid500636739OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 Lee Calvert 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 ID9931370624
PECOS Enrollment IDI20110929000659
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 8

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.
202 services111 patients
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.
60 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
21 services21 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
18 services17 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Willamette Valley Medical Center

Acute Care Hospitals · Mcminnville, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380071
Location2700 SE Stratus Ave.Mcminnville, OR 97128 · Yamhill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97132 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers20 claims20 services$195.33 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 20

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

PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
1003 PROVIDENCE DR, SUITE 325
NEWBERG, OR 97132
Yamhill County (503) 962-1000
GREGORY MICHAEL STROUP M.D.
Surgery
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Yamhill County (503) 537-5620
SEAN M STADTLANDER MD
Internal Medicine
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Yamhill County (503) 537-5900
DR. LIAN R SHAW MD
Internal Medicine (Cardiovascular Disease)
1003 PROVIDENCE DR, SUITE 325
NEWBERG, OR 97132
Yamhill County (503) 216-2188
ALLEN KRISTOPHER MOORE MD
Orthopaedic Surgery
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Yamhill County (503) 537-5620
DR. ISABEL CASILLAS ROSALES M.D.
Psychiatry & Neurology (Psychiatry)
1003 PROVIDENCE DR, SUITE 110
NEWBERG, OR 97132
Yamhill County (503) 537-5900
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine (Cardiovascular Disease)
1003 PROVIDENCE DR, SUITE 325
NEWBERG, OR 97132
Yamhill County (503) 216-0770
SANDRA LEE EMMONS MD
Obstetrics & Gynecology
1003 PROVIDENCE DR, STE 340
NEWBERG, OR 97132
Yamhill County (503) 538-2698

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 Calvert's NPI number?

The NPI number for Benjamin Calvert is 1316195704. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Benjamin Calvert located?

Benjamin Calvert practices at 1003 Providence Dr Suite 210, Newberg, OR 97132. The listed phone number is (503) 537-5900.

What is Benjamin Calvert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Calvert enrolled in Medicare?

Yes. Benjamin Calvert 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 Calvert accept?

Health plans from Providence Health Plan list Benjamin Calvert 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 Calvert affiliated with any hospitals?

According to CMS data, Benjamin Calvert is affiliated with Providence Newberg Medical Center and Willamette Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Calvert was last updated on October 19, 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.