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BENJAMIN STEPHENS MD
NPI 1568993582
Psychiatry & Neurology - Psychiatry in Charlottesville, VA

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
1414 SACHEM PL, CHARLOTTESVILLE, VA 22901(434) 218-0405(434) 296-1195 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Jun 30, 2021, Jun 15, 2021 and 2 more (5 updates tracked since 2017).

About Benjamin Stephens Md NPPES

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

BENJAMIN STEPHENS MD (NPI 1568993582) is an individual psychiatry provider in Charlottesville, Virginia, licensed in Virginia (0101269226) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Virginia Tech Carilion School Of Medicine (2017).

NPPES Registry Identity

NPI1568993582
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameBENJAMIN STEPHENSCredential: MD
Location Address1414 SACHEM PLCharlottesville, VA 22901-2560
Mailing Address1414 Sachem PlCharlottesville, VA 22901-2560 · (434) 218-0405 · Fax (434) 296-1195
Phone(434) 218-0405
Fax(434) 296-1195
Sole ProprietorNo
Medical School CMSVirginia Tech Carilion School Of MedicineGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateApril 8, 20255 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1568993582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in VA · 0101269226
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1414 SACHEM PL, Charlottesville, VA 22901
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Secondary Practice Location 1

Location 1901 Preston Ave Ste 401Charlottesville, VA 22903-4491 · Phone (434) 218-0405

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Stephens 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 ID7719257468
PECOS Enrollment IDI20210611001694
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 4

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.
323 services88 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
188 services72 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
100 services38 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22901 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Stephens's NPI number?

The NPI number for Benjamin Stephens is 1568993582. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Benjamin Stephens located?

Benjamin Stephens practices at 1414 Sachem Pl, Charlottesville, VA 22901. The listed phone number is (434) 218-0405.

What is Benjamin Stephens's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Benjamin Stephens enrolled in Medicare?

Yes. Benjamin Stephens 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.

What insurance does Benjamin Stephens accept?

Health plans from Providence Health Plan list Benjamin Stephens 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.

When was this NPI record last updated?

The NPPES record for Benjamin Stephens was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.