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CEDRIC BENSON M.D.
NPI 1558523142
Internal Medicine in New London, CT

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cedric Benson M.d. NPPES

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

CEDRIC BENSON M.D. (NPI 1558523142) is an individual internal medicine provider in New London, Connecticut, licensed in Connecticut (048089) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1558523142
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCEDRIC BENSONCredential: M.D.
Location Address365 MONTAUK AVENew London, CT 06320-4769
Mailing Address44 Maritime Drive, Pendleton Health And Rehabilitation CenterMystic, CT 06355 · (860) 572-1700
Phone(860) 442-0711
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 26, 2008
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedNovember 19, 2021
✔ NPI 1558523142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 048089✔ Licensed in RI · MD17015✔ Licensed in NY · 244053-1✔ Licensed in MA · 250430
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
365 MONTAUK AVE, New London, CT 06320
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cedric Benson M.d. 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 ID3678612371
PECOS Enrollment IDI20091208000785, I20201023002094
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Cedric Benson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Of University Hospital, PC
73 mi
Anesthesiology
301 E MAIN ST
Bay Shore, NY 11706
  • Reassigned Medicare billing, New York enrollment
  • 530 clinicians in this Medicare group
NPI 1023513116 (631) 968-3163
Steward Medical Group, Inc
85 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
North Shore-Lij Medical PC
92 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Massachusetts Acute Care Specialists PC
94 mi
Internal Medicine
585 LEBANON ST
Melrose, MA 02176
  • Reassigned Medicare billing, Massachusetts enrollment
  • 176 clinicians in this Medicare group
NPI 1306134812 (781) 979-3000
Hospital Medicine Associates LLC
1,295 mi
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Connecticut and Rhode Island enrollments
  • 127 clinicians in this Medicare group
NPI 1093758781 (225) 752-2470

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 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.
444 services193 patients
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.
273 services120 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
113 services111 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.
45 services43 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services15 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.
39 services39 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%217 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$16.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers38 claims38 services$83.27 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.

KATHLEEN M PACHECO RN, CDE
Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-4737
DR. CHRISTOPHER TUDOR OPRICA PHARM.D.
Pharmacist (Pharmacotherapy)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-3711
THERESA M. BONANOMI
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 444-5141
AMIT KHANNA MD
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
JOANN DONNEL LNM
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
SAMUEL MARYLES MD
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (330) 493-4443
DR. PAUL CASINELLI M.D
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711
MARIAM F. ABOUKAR D.O.
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-0711

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 Cedric Benson's NPI number?

The NPI number for Cedric Benson is 1558523142. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Cedric Benson located?

Cedric Benson practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Cedric Benson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cedric Benson enrolled in Medicare?

Yes. Cedric Benson 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.

Which organizations bill Medicare for Cedric Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cedric Benson reassigns Medicare benefits to 5 organizations: Physicians Of University Hospital, PC (Bay Shore, NY), Steward Medical Group, Inc (Watertown, MA), North Shore-Lij Medical PC (Great Neck, NY), Massachusetts Acute Care Specialists PC (Melrose, MA) and Hospital Medicine Associates LLC (Baton Rouge, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cedric Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cedric Benson accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Cedric Benson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cedric Benson affiliated with any hospitals?

According to CMS data, Cedric Benson is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Cedric Benson was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.