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

DR. BENJAMIN JAY FRANKFORT M.D., PH.D.
NPI 1417093980
Ophthalmology in Chapel Hill, NC

Active since January 30, 2007PECOS Enrolled
84.05/100
CMS Quality Rating
101 MANNING DR, CHAPEL HILL, NC 27514(984) 966-5296 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2026, Nov 13, 2020 (2 updates tracked since 2020).

About Dr. Benjamin Jay Frankfort M.d., Ph.d. NPPES

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

DR. BENJAMIN JAY FRANKFORT M.D., PH.D. (NPI 1417093980) is an individual ophthalmology provider in Chapel Hill, North Carolina, licensed in North Carolina (2026-02647) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Baylor College Of Medicine (2005).

NPPES Registry Identity

NPI1417093980
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BENJAMIN JAY FRANKFORTCredential: M.D., PH.D.
Location Address101 MANNING DRChapel Hill, NC 27514-4220
Mailing Address5221 Paramount Pkwy Ste 420Morrisville, NC 27560-5491 · (984) 974-3066
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2005
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1417093980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 2026-02647
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.
101 MANNING DR, Chapel Hill, NC 27514

Accepted Insurance

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 Jay Frankfort M.d., Ph.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 ID446375232
PECOS Enrollment IDI20100916001092
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 12

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.
672 services359 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.
430 services401 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).
402 services388 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.
88 services85 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.
66 services52 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.
57 services57 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27514 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Pharmacist (Pharmacotherapy)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Pharmacist (Oncology)
101 MANNING DR, CB#7600, UNC HOSPITAL
CHAPEL HILL, NC 27514
Nurse Practitioner
101 MANNING DR
CHAPEL HILL, NC 27514
Pharmacist (Oncology)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Student in an Organized Health Care Education/Training Program
101 MANNING DR
CHAPEL HILL, NC 27514
Registered Nurse
101 MANNING DR
CHAPEL HILL, NC 27514
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 MANNING DR
CHAPEL HILL, NC 27514
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27514

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 Frankfort's NPI number?

The NPI number for Benjamin Frankfort is 1417093980. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Benjamin Frankfort located?

Benjamin Frankfort practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (984) 966-5296.

What is Benjamin Frankfort's specialty?

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

Is Benjamin Frankfort enrolled in Medicare?

Yes. Benjamin Frankfort 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.

What insurance does Benjamin Frankfort accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Benjamin Frankfort 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.

Is Benjamin Frankfort affiliated with any hospitals?

According to CMS data, Benjamin Frankfort is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Benjamin Frankfort was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.