DR. MARK J BENJAMIN MD
NPI 1366433138
Ophthalmology in La Grange Highlands, IL

Q: What is Mark Benjamin's NPI number?

The NPI number for Mark Benjamin is 1366433138. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Mark Benjamin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Benjamin was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment

91.68/100

CMS Quality Rating

5201 WILLOW SPRINGS RD, SUITE 450, LA GRANGE HIGHLANDS, IL 60525(708) 354-2008(708) 354-2092 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Mark J Benjamin Md NPPES

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

DR. MARK J BENJAMIN MD (NPI 1366433138) is an individual ophthalmology provider in La Grange Highlands, Illinois, licensed in Illinois (036095352) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1993).

NPPES Registry Identity

NPI1366433138

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARK J BENJAMINCredential: MD

Location Address5201 WILLOW SPRINGS RD, SUITE 450La Grange Highlands, IL 60525-6537

Mailing Address5201 Willow Springs Rd, Suite 450La Grange Highlands, IL 60525-6537 · (708) 354-2008 · Fax (708) 354-2092

Phone(708) 354-2008

Fax(708) 354-2092

Sole ProprietorYes

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1993

Enumeration DateNovember 2, 2005

Last NPPES UpdateFebruary 25, 2009

✔ NPI 1366433138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036095352

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.

5201 WILLOW SPRINGS RD, La Grange Highlands, IL 60525

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Other Identifiers 4

Other1532015IL · Blue Cross Blue Shield

Medicare NSC1272400001IL

Medicare PIN211282IL

Medicare UPING55747IL

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. Mark J Benjamin 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 ID5799731394

PECOS Enrollment IDI20050329000026

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 9

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.

534 services507 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.

299 services234 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.

212 services79 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.

119 services75 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.

115 services70 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

65 services65 patients

Hospital Affiliations CMS Care Compare

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140065

Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60525 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

91.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

79.22

Improvement Activities

Cost

100

Reported Quality Measures

Diabetes: Eye Exam

99%107 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

93%2,839 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

84%112 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 100% · 493 patients

41%493 patients

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

94%32 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,233 patients

Patients totalRate: 0% · 1,233 patients

0%1,233 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 20

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

ISABELLE VANMOON CHU MD

Surgery

5201 WILLOW SPRINGS RD
LA GRANGE HIGHLANDS, IL 60525

Cook County (630) 226-0664

SOHAIL QAMAR CSA

5201 WILLOW SPRINGS RD
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 579-0018

JAAFAR AFSHAR MD

Obstetrics & Gynecology

5201 WILLOW SPRINGS RD, 120
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 245-6097

BENJAMIN EYE CARE

Durable Medical Equipment & Medical Supplies

5201 WILLOW SPRINGS RD, SUITE 450
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-2008

BARBARA T BORGIONE PA-C

Physician Assistant

5201 WILLOW SPRINGS RD, SUITE 430
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 482-3213

DR. BRUCE DUANE FICK MD

Ophthalmology

5201 WILLOW SPRINGS RD, SUITE 450
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-2008

MRS. ALISON BAXTER GIUNTA M.S. PA-C

Physician Assistant (Surgical)

5201 WILLOW SPRINGS RD, #440
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 354-4667

ADVENTIST HEALTH PARTNERS, INC

Obstetrics & Gynecology

5201 WILLOW SPRINGS RD, SUITE 120
LA GRANGE HIGHLANDS, IL 60525

Cook County (708) 245-6097

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 Mark Benjamin's NPI number?

The NPI number for Mark Benjamin is 1366433138. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Mark Benjamin located?

Mark Benjamin practices at 5201 Willow Springs Rd Suite 450, La Grange Highlands, IL 60525. The listed phone number is (708) 354-2008.

What is Mark Benjamin's specialty?

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

Is Mark Benjamin enrolled in Medicare?

Yes. Mark Benjamin 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 Mark Benjamin affiliated with any hospitals?

According to CMS data, Mark Benjamin is affiliated with Adventist La Grange Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Benjamin was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.