BENJAMIN NULSEN
NPI 1467795377
Internal Medicine - Gastroenterology in Santa Monica, CA

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
1223 16TH ST STE 3100, SANTA MONICA, CA 90404(310) 582-6240(424) 259-7789 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2020, Sep 2, 2016 (2 updates tracked since 2016).

About Benjamin Nulsen NPPES

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

BENJAMIN NULSEN (NPI 1467795377) is an individual gastroenterology provider in Santa Monica, California, licensed in California (A147910) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Icahn School Of Medicine At Mount Sinai (2013).

NPPES Registry Identity

NPI1467795377
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameBENJAMIN NULSEN
Location Address1223 16TH ST STE 3100Santa Monica, CA 90404-1275
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8771 · Fax (310) 301-8751
Fax(424) 259-7789
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2013
Enumeration DateMarch 28, 2013
Last NPPES UpdateNovember 4, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
NPI 1467795377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A147910
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedHospitalistTaxonomy 208M00000X · License 276855 (NY)
1223 16TH ST STE 3100, Santa Monica, CA 90404

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-1653 · Fax (212) 289-6393

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 Nulsen 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 ID9830477538
PECOS Enrollment IDI20200617003090
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 16

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.
263 services170 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.
145 services145 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
111 services110 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
98 services98 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
76 services75 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.
61 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Other Providers at the Same Location NPPES 13

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

Psychologist (Clinical)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Nurse Practitioner (Primary Care)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Internal Medicine (Geriatric Medicine)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Physician Assistant
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Dietitian, Registered
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Nurse Practitioner
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Internal Medicine (Gastroenterology)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Surgery
1223 16TH ST STE 3100
SANTA MONICA, CA 90404

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 Nulsen's NPI number?

The NPI number for Benjamin Nulsen is 1467795377. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Benjamin Nulsen located?

Benjamin Nulsen practices at 1223 16th St Ste 3100, Santa Monica, CA 90404. The listed phone number is (310) 582-6240.

What is Benjamin Nulsen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Benjamin Nulsen enrolled in Medicare?

Yes. Benjamin Nulsen 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 Nulsen was last updated on November 4, 2020. 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.