DR. BRIAN ERIC BENSON M.D.
NPI 1336312420
Otolaryngology in Hackensack, NJ

Active since April 09, 2008PECOS EnrolledAccepts Medicare Assignment
87.01/100
CMS Quality Rating
20 PROSPECT AVE, SUITE 613, HACKENSACK, NJ 07601(551) 996-2750(551) 228-7606 Get Directions Write a Review

NPPES record last updated: November 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 16, 2024, Nov 8, 2024, Mar 31, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Brian Eric Benson M.d. NPPES

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

DR. BRIAN ERIC BENSON M.D. (NPI 1336312420) is an individual otolaryngology provider in Hackensack, New Jersey, licensed in New Jersey (25MA08215300) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (2003).

NPPES Registry Identity

NPI1336312420
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BRIAN ERIC BENSONCredential: M.D.
Location Address20 PROSPECT AVE, SUITE 613Hackensack, NJ 07601-1997
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877
Fax(551) 228-7606
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2003
Enumeration DateApril 9, 2008
Last NPPES UpdateNovember 16, 20244 updates tracked since enumeration
NPPES CertifiedNovember 16, 2024
NPI 1336312420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NJ · 25MA08215300
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

20 PROSPECT AVE, Hackensack, NJ 07601

Other Identifiers 2

Other1134472343NJ · Npi
Other260149NJ · Ptan

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. Brian Eric Benson 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 ID5799841433
PECOS Enrollment IDI20090305000083
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.
285 services208 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
259 services196 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
233 services179 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.
187 services162 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.
183 services183 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
163 services132 patients

Hospital Affiliations CMS Care Compare 2

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

87.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.84
Promoting Interoperability84
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%51 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
33%101 patients3/55-star benchmark: 100%
Age-Related Hearing Loss: Comprehensive Audiometric Evaluation
21%38 patients
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
31%449 patients2/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
61%3,365 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
32%2,279 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 705 patients
Patients screened: 99% · 705 patients
5%83 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
57%2,658 patients1/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
97%66 patients4/55-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 20

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

Otolaryngology
20 PROSPECT AVE, SUITE 712
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
20 PROSPECT AVE, THE CANCER CENTER AT HACKENSACK UNIVERSITY MEDICAL CTR.
HACKENSACK, NJ 07601
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, STE 507
HACKENSACK, NJ 07601
Psychiatry & Neurology (Neurology)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Internal Medicine (Infectious Disease)
20 PROSPECT AVE, SUITE 507
HACKENSACK, NJ 07601
Nurse Practitioner (Family)
20 PROSPECT AVE, SUITE 800
HACKENSACK, NJ 07601
Nurse Practitioner (Acute Care)
20 PROSPECT AVE
HACKENSACK, NJ 07601
Neurological Surgery
20 PROSPECT AVE, SUITE 811
HACKENSACK, NJ 07601

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 Brian Benson's NPI number?

The NPI number for Brian Benson is 1336312420. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Brian Benson located?

Brian Benson practices at 20 Prospect Ave Suite 613, Hackensack, NJ 07601. The listed phone number is (551) 996-2750.

What is Brian Benson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Brian Benson enrolled in Medicare?

Yes. Brian Benson 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.

Is Brian Benson affiliated with any hospitals?

According to CMS data, Brian Benson is affiliated with Hackensack University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Benson was last updated on November 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.