MR. LUKE JOHN BENVENUTO MD
NPI 1417274408
Internal Medicine - Pulmonary Disease in New York, NY

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
630 WEST 168TH STREET, NEW YORK, NY 10032(212) 342-3882 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Luke John Benvenuto Md NPPES

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

MR. LUKE JOHN BENVENUTO MD (NPI 1417274408) is an individual pulmonary disease provider in New York, New York, licensed in New York (269140) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2010).

NPPES Registry Identity

NPI1417274408
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. LUKE JOHN BENVENUTOCredential: MD
Location Address630 WEST 168TH STREETNew York, NY 10032
Mailing Address630 W 168th StNew York, NY 10032-3725 · (212) 342-5155
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2010
Enumeration DateApril 29, 2010
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
NPI 1417274408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 269140
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
630 WEST 168TH STREET, New York, NY 10032

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

Mr. Luke John Benvenuto Md 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 ID6204149073
PECOS Enrollment IDI20160802001104
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
434 services71 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
252 services60 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services18 patients
Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
48 services37 patients
Biopsy of lobe of lung using an endoscope, each additional lobe 31632
A biopsy of the lung lobe using an endoscope is a procedure where a small sample of lung tissue is taken for testing. If more than one lobe needs to be examined, the process is repeated. An endoscope, a flexible tube with a light and camera, is used to view and access the lung tissue.
32 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services24 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

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
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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
Quality86.8
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%58 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier18 claims4,080 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims11 services$18.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier17 claims17 services$12.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Student in an Organized Health Care Education/Training Program
630 WEST 168TH STREET, DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
630 WEST 168TH STREET, PH 8 EAST ROOM 105
NEW YORK, NY 10032
Dentist (Oral and Maxillofacial Pathology)
630 WEST 168TH STREET
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
630 WEST 168TH STREET
NEW YORK, NY 10032
Internal Medicine (Cardiovascular Disease)
630 WEST 168TH STREET
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
630 WEST 168TH STREET
NEW YORK, NY 10032
Internal Medicine (Cardiovascular Disease)
630 WEST 168TH STREET, COLUMBIA UNIVERSITY, DIVISION OF CARDIOLOGY
NEW YORK, NY 10032
Hospitalist
630 WEST 168TH STREET, PH 8 EAST ROOM 105
NEW YORK, NY 10032

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 Luke Benvenuto's NPI number?

The NPI number for Luke Benvenuto is 1417274408. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Luke Benvenuto located?

Luke Benvenuto practices at 630 West 168th Street, New York, NY 10032. The listed phone number is (212) 342-3882.

What is Luke Benvenuto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Luke Benvenuto enrolled in Medicare?

Yes. Luke Benvenuto 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 Luke Benvenuto affiliated with any hospitals?

According to CMS data, Luke Benvenuto is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Luke Benvenuto was last updated on December 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.