DR. BENITA BENJAMIN DO
NPI 1366948499
Family Medicine in Glen Cove, NY

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
10 MEDICAL PLZ, GLEN COVE, NY 11542(516) 679-0239 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benita Benjamin Do NPPES

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

DR. BENITA BENJAMIN DO (NPI 1366948499) is an individual family medicine provider in Glen Cove, New York, licensed in New York (309326) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Plainview.

NPPES Registry Identity

NPI1366948499
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BENITA BENJAMINCredential: DO
Location Address10 MEDICAL PLZGlen Cove, NY 11542-2101
Mailing Address10 Medical PlzGlen Cove, NY 11542-2101 · (516) 676-0239
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateJuly 6, 2021
NPPES CertifiedJuly 6, 2021
NPI 1366948499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 309326
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.
10 MEDICAL PLZ, Glen Cove, NY 11542

Secondary Practice Location 1

Location 1888 Old Country RdPlainview, NY 11803-4914 · Phone (516) 661-7390

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. Benita Benjamin Do 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 ID6608110853
PECOS Enrollment IDI20210930000721
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 5

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.
116 services74 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 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.
39 services31 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.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Radiology (Body Imaging)
10 MEDICAL PLZ
GLEN COVE, NY 11542
Orthopaedic Surgery
10 MEDICAL PLZ, SUITE 103
GLEN COVE, NY 11542
Pediatrics (Adolescent Medicine)
10 MEDICAL PLZ, ROOM 301
GLEN COVE, NY 11542
Specialist
10 MEDICAL PLZ, SUITE 206
GLEN COVE, NY 11542
Urology
10 MEDICAL PLZ, SUITE 101
GLEN COVE, NY 11542
Surgery
10 MEDICAL PLZ, SUITE 302
GLEN COVE, NY 11542
Internal Medicine
10 MEDICAL PLZ, STE 303
GLEN COVE, NY 11542
Pediatrics (Adolescent Medicine)
10 MEDICAL PLZ
GLEN COVE, NY 11542

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 Benita Benjamin's NPI number?

The NPI number for Benita Benjamin is 1366948499. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Benita Benjamin located?

Benita Benjamin practices at 10 Medical Plz, Glen Cove, NY 11542. The listed phone number is (516) 679-0239.

What is Benita Benjamin's specialty?

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

Is Benita Benjamin enrolled in Medicare?

Yes. Benita 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 Benita Benjamin affiliated with any hospitals?

According to CMS data, Benita Benjamin is affiliated with North Shore University Hospital and Northwell Hospital Glen Cove.

When was this NPI record last updated?

The NPPES record for Benita Benjamin was last updated on July 6, 2021. 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.