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MR. BENJAMIN JAMES JAVERY PA-C
NPI 1477077493
Physician Assistant in Pawtucket, RI

Active since August 01, 2017PECOS EnrolledAccepts Medicare Assignment
111 BREWSTER ST, PAWTUCKET, RI 02860(401) 729-2635(401) 729-2157 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2023, Jan 3, 2023, Nov 14, 2022 and 2 more (5 updates tracked since 2017).

About Mr. Benjamin James Javery Pa-c NPPES

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

MR. BENJAMIN JAMES JAVERY PA-C (NPI 1477077493) is an individual physician assistant in Pawtucket, Rhode Island, licensed in Rhode Island (PA00988) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477077493
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BENJAMIN JAMES JAVERYCredential: PA-C
Location Address111 BREWSTER STPawtucket, RI 02860-4400
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 738-7015 · Fax (401) 273-2919
Phone(401) 729-2635
Fax(401) 729-2157
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 1, 2017
Last NPPES UpdateFebruary 17, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1477077493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA00988
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 BREWSTER ST, Pawtucket, RI 02860
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Other Identifiers 1

Medicaid1477077493RI

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. Benjamin James Javery Pa-c 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 ID6204102247
PECOS Enrollment IDI20171019000897
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 3

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.
174 services134 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.
86 services61 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.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers138 claims138 services$35.70 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers79 claims79 services$80.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers65 claims179 services$27.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers55 claims304 services$15.86 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers39 claims222 services$13.61 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers107 claims107 services$45.87 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 20

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

MAHMOUD MOWAFY M.D.
Internal Medicine
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2258
ASHLEY NANCY MASTRANGELO DPM
Podiatrist (Foot & Ankle Surgery)
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2977
JOHN RIEDEL MD
Emergency Medicine
111 BREWSTER ST, DEPARTMENT OF EMERGENCY MEDICINE
PAWTUCKET, RI 02860
Providence County (401) 729-2191
MEMORIAL HOSPITAL
General Acute Care Hospital
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2836
JALEH FALLAH MD
Internal Medicine (Hematology & Oncology)
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2258
MS. COLLEEN FOLEY-LUNT
Speech-Language Pathologist
111 BREWSTER ST, SPEECH LANGUAGE PATHOLOGY
PAWTUCKET, RI 02860
Providence County (508) 729-2316
MAXWELL VAN HOVEN MD
Family Medicine
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 737-7000
SCOTT MICHAEL CAMPBELL
Physical Therapist
111 BREWSTER ST, ND PHYSICAL THERAPY
PAWTUCKET, RI 02860
Providence County (401) 729-3481

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 Javery's NPI number?

The NPI number for Benjamin Javery is 1477077493. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Benjamin Javery located?

Benjamin Javery practices at 111 Brewster St, Pawtucket, RI 02860. The listed phone number is (401) 729-2635.

What is Benjamin Javery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Benjamin Javery enrolled in Medicare?

Yes. Benjamin Javery 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 Benjamin Javery affiliated with any hospitals?

According to CMS data, Benjamin Javery is affiliated with Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Javery was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.