BENJAMIN THOMAS WHIGHAM M.D.
NPI 1396183240
Ophthalmology in New York, NY

Q: What is Benjamin Whigham's NPI number?

The NPI number for Benjamin Whigham is 1396183240. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Q: What is Benjamin Whigham'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 Benjamin Whigham was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 12, 2013PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

635 W 165TH ST, NEW YORK, NY 10032(212) 305-9535(212) 305-5523 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Benjamin Thomas Whigham M.d. NPPES

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

BENJAMIN THOMAS WHIGHAM M.D. (NPI 1396183240) is an individual ophthalmology provider in New York, New York, licensed in New York (287412) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2013).

NPPES Registry Identity

NPI1396183240

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameBENJAMIN THOMAS WHIGHAMCredential: M.D.

Location Address635 W 165TH STNew York, NY 10032

Mailing Address635 W 165th StNew York, NY 10032-3724 · (212) 305-6709 · Fax (212) 305-5523

Phone(212) 305-9535

Fax(212) 305-5523

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2013

Enumeration DateJune 12, 2013

Last NPPES UpdateJuly 12, 2018

✔ NPI 1396183240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 287412

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

635 W 165TH ST, New York, NY 10032

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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 and accepts Medicare assignment

Benjamin Thomas Whigham 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 ID9234494667

PECOS Enrollment IDI20180605002515

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 13

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 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.

142 services108 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

130 services100 patients

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.

119 services115 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.

108 services98 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

86 services67 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

56 services52 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

45 services43 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.

41 services41 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

41 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

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.

19 services17 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

15 services15 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

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.

GEORGE A CIOFFI MD

Ophthalmology

635 W 165TH ST
NEW YORK, NY 10032

New York County (212) 305-9535

DR. ROYCE WELFORD SHEN CHEN M.D.

Ophthalmology

635 W 165TH ST
NEW YORK, NY 10032

New York County (212) 305-9535

ARIELA VASSERMAN PSY.D.

Psychologist (Clinical)

635 W 165TH ST, 6TH FLOOR
NEW YORK, NY 10032

New York County (212) 305-9433

JEFFREY LIEBMANN MD

Ophthalmology

635 W 165TH ST
NEW YORK, NY 10032

New York County (212) 305-9535

JAMES DRAKE AURAN M.D.

Ophthalmology

635 W 165TH ST, BOX 11
NEW YORK, NY 10032

New York County (212) 305-9535

LORA RABIN DAGI GLASS M.D.

Ophthalmology

635 W 165TH ST
NEW YORK, NY 10032

New York County (212) 305-9535

DR. GABRIEL RAND MD

Ophthalmology

635 W 165TH ST
NEW YORK, NY 10032

New York County (212) 305-6709

MR. LORENZO TORRES M.A.

Psychologist (School)

635 W 165TH ST, ROOM 636A
NEW YORK, NY 10032

New York County (646) 317-0437

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 Whigham's NPI number?

The NPI number for Benjamin Whigham is 1396183240. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Benjamin Whigham located?

Benjamin Whigham practices at 635 W 165th St, New York, NY 10032. The listed phone number is (212) 305-9535.

What is Benjamin Whigham's specialty?

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

Is Benjamin Whigham enrolled in Medicare?

Yes. Benjamin Whigham 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.

When was this NPI record last updated?

The NPPES record for Benjamin Whigham was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.