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DR. BENJAMIN L WISNIEWSKI M.D.
NPI 1376939751
Pediatrics - Pediatric Pulmonology in Aurora, CO

Active since April 12, 2015PECOS Enrolled
97.58/100
CMS Quality Rating
13123 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2022, Jul 11, 2018 (2 updates tracked since 2018).

About Dr. Benjamin L Wisniewski M.d. NPPES

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

DR. BENJAMIN L WISNIEWSKI M.D. (NPI 1376939751) is an individual pediatric pulmonology provider in Aurora, Colorado, licensed in Colorado (DR.0068580) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376939751
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. BENJAMIN L WISNIEWSKICredential: M.D.
Location Address13123 E 16TH AVEAurora, CO 80045-7106
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-4766
Phone(720) 848-0000
Sole ProprietorNo
Enumeration DateApril 12, 2015
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1376939751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in CO · DR.0068580
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
13123 E 16TH AVE, Aurora, CO 80045
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1700 Childrens DrColumbus, OH 43205 · Phone (614) 722-4766
Location 249 Jesse Hill Jr Dr SEAtlanta, GA 30303-3049 · Phone (404) 778-1440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin L Wisniewski M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Wisniewski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physicians Incorporated
0.1 mi
Pediatrics
13123 E 16TH AVE
Aurora, CO 80045
  • Reassigned Medicare billing, Colorado enrollment
  • 4,283 clinicians in this Medicare group
NPI 1083662498 (720) 777-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
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.

ERIN TERAVEST PA
Physician Assistant (Surgical)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MELISSA KAY FRAZER AA-C
Anesthesiologist Assistant
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
RACHEL MARIE RANWEILER
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. KATHRYN LYN PEGAN AU.D.
Audiologist
13123 E 16TH AVE, 2ND FLOOR OUTPATIENT PAVILION - AUDIOLOGY
AURORA, CO 80045
Adams County (720) 777-1961
MRS. KRISTEN L HOLDER FNP-C, APRN-BC
Nurse Practitioner (Psychiatric/Mental Health)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. JILL M MARKS RN, APN
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-1234
MRS. WENDELYN M BARRETT NNP
Registered Nurse (Neonatal Intensive Care)
13123 E 16TH AVE
AURORA, CO 80045
Adams County (720) 777-6857
DR. TIMOTHY OWEN VANDERKOOY MD
Emergency Medicine (Pediatric Emergency Medicine)
13123 E 16TH AVE, AURORA, CO 80045-7106
AURORA, CO 80045
Adams County (720) 777-1234

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 Wisniewski's NPI number?

The NPI number for Benjamin Wisniewski is 1376939751. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Benjamin Wisniewski located?

Benjamin Wisniewski practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Benjamin Wisniewski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Benjamin Wisniewski enrolled in Medicare?

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

Which organization bills Medicare for Benjamin Wisniewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Wisniewski reassigns Medicare benefits to University Physicians Incorporated (Aurora, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Wisniewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Wisniewski accept?

Health plans from Select Health list Benjamin Wisniewski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Wisniewski was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.