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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BENJAMIN KIM
NPI 1366946089
Dentist - Oral and Maxillofacial Surgery in Madison, WI

Active since March 19, 2018PECOS Enrolled
7007 OLD SAUK RD, MADISON, WI 53717(608) 819-8760 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2023, Jun 29, 2018, Mar 19, 2018 (3 updates tracked since 2018).

About Benjamin Kim NPPES

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

BENJAMIN KIM (NPI 1366946089) is an individual oral and maxillofacial surgery provider in Madison, Wisconsin, licensed in Wisconsin (6002166-15) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366946089
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBENJAMIN KIM
Location Address7007 OLD SAUK RDMadison, WI 53717-2307
Mailing Address7007 Old Sauk RdMadison, WI 53717-2307 · (608) 819-8760
Phone(608) 819-8760
Sole ProprietorNo
Enumeration DateMarch 19, 2018
Last NPPES UpdateJune 26, 20263 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1366946089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WI · 6002166-15
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7007 OLD SAUK RD, Madison, WI 53717
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53717 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 10

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

DHA ORTHODONTICS WEST LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
7007 OLD SAUK RD, SUITE 101
MADISON, WI 53717
Dane County (608) 833-6112
DHA ORTHODONTICS WEST LLC
Durable Medical Equipment & Medical Supplies
7007 OLD SAUK RD, SUITE 101
MADISON, WI 53717
Dane County (608) 833-6112
MR. JEFFREY B DAVIS DDS
Dentist (Oral and Maxillofacial Surgery)
7007 OLD SAUK RD
MADISON, WI 53717
Dane County (608) 833-2060
TJ DYER DDS
Dentist
7007 OLD SAUK RD
MADISON, WI 53717
Dane County (608) 819-8760
MR. KIM J PANSEGRAU DDS MD
Dentist (Oral and Maxillofacial Surgery)
7007 OLD SAUK RD
MADISON, WI 53717
Dane County (608) 833-2060
DR. DAVID T ALLEN DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
7007 OLD SAUK RD, SUITE 101
MADISON, WI 53717
Dane County (608) 833-6112
MR. GEOFFREY R WARDA DDS
Dentist (Oral and Maxillofacial Surgery)
7007 OLD SAUK RD
MADISON, WI 53717
Dane County (608) 833-2060
GABRIELLE NEILSON MOEN DDS
Dentist (Oral and Maxillofacial Surgery)
7007 OLD SAUK RD
MADISON, WI 53717
Dane County (608) 819-8760

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 Kim's NPI number?

The NPI number for Benjamin Kim is 1366946089. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Benjamin Kim located?

Benjamin Kim practices at 7007 Old Sauk Rd, Madison, WI 53717. The listed phone number is (608) 819-8760.

What is Benjamin Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Benjamin Kim enrolled in Medicare?

Yes. Benjamin Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Kim was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.