BENJAMIN S. ABELLA MD
NPI 1568560746
Emergency Medicine in New York, NY

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1468 MADISON AVE, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin S. Abella Md NPPES

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

BENJAMIN S. ABELLA MD (NPI 1568560746) is an individual emergency medicine provider in New York, New York, licensed in New York (333501) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1568560746
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBENJAMIN S. ABELLACredential: MD
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address51 N 39th StPhiladelphia, PA 19104-2640 · (215) 662-8214 · Fax (215) 662-3953
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1998
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1568560746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NY · 333501 Licensed in PA · MD429196
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1468 MADISON AVE, New York, NY 10029

Secondary Practice Location 1

Location 151 N 39th StPhiladelphia, PA 19104-2640 · Phone (215) 662-8214 · Fax (215) 662-3953

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 S. Abella 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 ID5193775872
PECOS Enrollment IDI20241126004052
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
59 services59 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029

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 Abella's NPI number?

The NPI number for Benjamin Abella is 1568560746. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Benjamin Abella located?

Benjamin Abella practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Benjamin Abella's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Abella enrolled in Medicare?

Yes. Benjamin Abella 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 Abella affiliated with any hospitals?

According to CMS data, Benjamin Abella is affiliated with Mount Sinai Hospital and Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Abella was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.