DR. BENJAMIN WILL SCALLON M.D.
NPI 1376923250
Internal Medicine in Boulder, CO

Q: What is Benjamin Scallon's NPI number?

The NPI number for Benjamin Scallon is 1376923250. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Q: What is Benjamin Scallon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Scallon was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 June 04, 2015PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1645 BROADWAY, BOULDER, CO 80302(303) 415-8900(303) 443-6476 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Jan 20, 2021, Aug 31, 2020 and 1 more (4 updates tracked since 2018).

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About Dr. Benjamin Will Scallon M.d. NPPES

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

DR. BENJAMIN WILL SCALLON M.D. (NPI 1376923250) is an individual internal medicine provider in Boulder, Colorado, licensed in Colorado (DR.0074853) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1376923250

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BENJAMIN WILL SCALLONCredential: M.D.

Location Address1645 BROADWAYBoulder, CO 80302-6218

Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-4101 · Fax (303) 415-4769

Phone(303) 415-8900

Fax(303) 443-6476

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 4, 2015

Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1376923250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in CO · DR.0074853✔ Licensed in PA · MD463687✔ Licensed in IA · R-10311✔ Licensed in NY · 305535

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1645 BROADWAY, Boulder, CO 80302

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Secondary Practice Locations 3

Location 121 Geisinger LnLewistown, PA 17044 · Phone (717) 242-4200 · Fax (717) 242-4212

Location 2425 E 61st StNew York, NY 10065-8722 · Phone (646) 962-2399

Location 3200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 384-9668

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 Will Scallon 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 ID3779895487

PECOS Enrollment IDI20250812004733

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 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.

50 services41 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.

47 services41 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

35 services28 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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80302 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

100/100

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

Scored through an Alternative Payment Model

Quality

86.8

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 9

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

TAO LI-STEIN MD

Family Medicine