AMIR BABAK BEHNAM MD
NPI 1447215678
Plastic Surgery in Wyomissing, PA

Q: What is Amir Behnam's NPI number?

The NPI number for Amir Behnam is 1447215678. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Amir Behnam's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Amir Behnam was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 19, 2006PECOS EnrolledAccepts Medicare Assignment

81.19/100

CMS Quality Rating

2610 KEISER BLVD, WYOMISSING, PA 19610(484) 628-9127 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amir Babak Behnam Md NPPES

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

AMIR BABAK BEHNAM MD (NPI 1447215678) is an individual plastic surgery provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD435632) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in West Reading.

NPPES Registry Identity

NPI1447215678

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameAMIR BABAK BEHNAMCredential: MD

Location Address2610 KEISER BLVDWyomissing, PA 19610-3333

Mailing AddressPo Box 13579Reading, PA 19612-3579

Phone(484) 628-9127

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1998

Enumeration DateApril 19, 2006

Last NPPES UpdateMarch 26, 2021

NPPES CertifiedMarch 26, 2021

✔ NPI 1447215678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in PA · MD435632

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License MD435632 (PA), 25MA07782200 (NJ)

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License MD435632 (PA), 25MA07782200 (NJ)

2610 KEISER BLVD, Wyomissing, PA 19610

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Secondary Practice Location 1

Location 1301 South 7th Ave, Suite 1020West Reading, PA 19611-1473 · Phone (484) 628-9127 · Fax (484) 628-9128

Other Identifiers 1

Medicaid102209241PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Amir Babak Behnam 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 ID1456373331

PECOS Enrollment IDI20081119000496

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 5

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.

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.

45 services45 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.

31 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

20 services20 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.

16 services14 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

81.19/100

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

Scored as part of a group practice

Quality

74.56

Promoting Interoperability

Improvement Activities

Cost

65.23

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.

Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard A6266

DME-Medical/Surgical Supplies · category DA023N

1 supplier22 claims1,026 services$1.85 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard A6445

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims1,424 services$0.31 avg. paid by Medicare

Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard A6453

DME-Medical/Surgical Supplies · category DA023N

1 supplier16 claims444 services$0.58 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 5

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

TOWER HEALTH MEDICAL GROUP

Plastic Surgery