DR. BENJAMIN PATRICK SOPCZYNSKI M.D.
NPI 1336554708
Surgery in Oakland, CA

Q: What is Benjamin Sopczynski's NPI number?

The NPI number for Benjamin Sopczynski is 1336554708. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Benjamin Sopczynski's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment

365 HAWTHORNE AVE STE 101, OAKLAND, CA 94609(510) 465-5523(510) 832-6061 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2021, Aug 10, 2020 (2 updates tracked since 2020).

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About Dr. Benjamin Patrick Sopczynski M.d. NPPES

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

DR. BENJAMIN PATRICK SOPCZYNSKI M.D. (NPI 1336554708) is an individual surgery provider in Oakland, California, licensed in California (A169158) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Michigan State University College Of Human Medicine (2014).

NPPES Registry Identity

NPI1336554708

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. BENJAMIN PATRICK SOPCZYNSKICredential: M.D.

Location Address365 HAWTHORNE AVE STE 101Oakland, CA 94609-3115

Mailing Address2345 Country Hills DrAntioch, CA 94509-7319 · (989) 482-1581

Phone(510) 465-5523

Fax(510) 832-6061

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2014

Enumeration DateJune 24, 2014

Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1336554708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in CA · A169158✔ Licensed in MI · 4301105704

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

365 HAWTHORNE AVE STE 101, Oakland, CA 94609

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Benjamin Patrick Sopczynski 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 ID9234354374

PECOS Enrollment IDI20211019000993

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 4

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.

57 services30 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

27 services27 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.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

Other Providers at the Same Location NPPES 7

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

HNOUKAJ AURORE LYFOUNG MD

Surgery