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BENJAMIN SUSSMAN ROBERTS CRNP
NPI 1518633486
Nurse Practitioner - Acute Care in Baltimore, MD

Active since August 19, 2021PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
5200 EASTERN AVE, BALTIMORE, MD 21224(410) 550-7196 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2024, Jun 7, 2023, Aug 19, 2021 (3 updates tracked since 2021).

About Benjamin Sussman Roberts Crnp NPPES

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

BENJAMIN SUSSMAN ROBERTS CRNP (NPI 1518633486) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R228052) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1518633486
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBENJAMIN SUSSMAN ROBERTSCredential: CRNP
Location Address5200 EASTERN AVEBaltimore, MD 21224-2734
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704 · Fax (410) 933-1390
Phone(410) 550-7196
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 19, 2021
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1518633486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MD · R228052
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License PENDING (MD)
5200 EASTERN AVE, Baltimore, MD 21224
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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 Sussman Roberts Crnp 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 ID3375932379
PECOS Enrollment IDI20211112001441
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 11

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.
90 services49 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.
62 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services28 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
46 services35 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.
38 services21 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.
33 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

JOHN ZIZZO
Student in an Organized Health Care Education/Training Program
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0526
BRITTANY ADLER MD
Internal Medicine
5200 EASTERN AVE, CENTER TOWER, SUITE 4100
BALTIMORE, MD 21224
Baltimore City (410) 550-2044
ZACHARY WAYNE LORENZ MD
Internal Medicine
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0526
DR. JANET WILLOUGHBY MAYNARD M.D.
Internal Medicine
5200 EASTERN AVE, MASON F. LORD BUILDING CENTER TOWER, SUITE 4100
BALTIMORE, MD 21224
Baltimore City (410) 614-3368
TAHREEM IQBAL MD
Hospitalist
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. KAVYA GORUKANTI M.D.
Hospitalist
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
MARY CHONG
Student in an Organized Health Care Education/Training Program
5200 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (667) 306-6540
LUCY JANE DOOLEY MB BCH BAO
Student in an Organized Health Care Education/Training Program
5200 EASTERN AVE, MASON F FORD BUILDING
BALTIMORE, MD 21224
Baltimore City (410) 550-7162

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 Roberts's NPI number?

The NPI number for Benjamin Roberts is 1518633486. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Benjamin Roberts located?

Benjamin Roberts practices at 5200 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-7196.

What is Benjamin Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Benjamin Roberts enrolled in Medicare?

Yes. Benjamin Roberts 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 Roberts was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.