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DR. TAVYA BENJAMIN M.D.
NPI 1578096657
Urology in Glen Cove, NY

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
101 SAINT ANDREWS LN, GLEN COVE, NY 11542(516) 734-8500 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Tavya Benjamin M.d. NPPES

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

DR. TAVYA BENJAMIN M.D. (NPI 1578096657) is an individual urology provider in Glen Cove, New York, licensed in New York (316920-01) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in New Hyde Park.

NPPES Registry Identity

NPI1578096657
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. TAVYA BENJAMINCredential: M.D.
Location Address101 SAINT ANDREWS LNGlen Cove, NY 11542-2263
Mailing Address450 Lakeville RdNew Hyde Park, NY 11042-1118 · (516) 734-8500
Phone(516) 734-8500
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1578096657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 316920-01
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 SAINT ANDREWS LN, Glen Cove, NY 11542
Open in Google Maps ↗

Secondary Practice Location 1

Location 127005 76th AveNew Hyde Park, NY 11040-1402 · Phone (718) 470-7210

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

Dr. Tavya Benjamin 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 ID2961746797
PECOS Enrollment IDI20230907003432
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.

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.
105 services66 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
88 services56 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.
56 services39 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.
44 services44 patients
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.
29 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services19 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
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.

BRUCE W MARTIN FNP
Nurse Practitioner (Family)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7461
SUBOOR AZIMI
Pharmacist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
DR. JOHN D'ANGELO MD
Emergency Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7325
MAAYAN ESTELLE LIEBERMAN M.D.
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Nassau County (516) 674-7631
ALI AY
Hospitalist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (718) 270-2353
DR. OLUMIDE ADEYEKUN MD
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
WAI C MAN D.O.
Internal Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
GURBHUSHAN SINGH BASRA M.D.
Radiology (Diagnostic Radiology)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7540

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 Tavya Benjamin's NPI number?

The NPI number for Tavya Benjamin is 1578096657. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Tavya Benjamin located?

Tavya Benjamin practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 734-8500.

What is Tavya Benjamin's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Tavya Benjamin enrolled in Medicare?

Yes. Tavya Benjamin 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 Tavya Benjamin affiliated with any hospitals?

According to CMS data, Tavya Benjamin is affiliated with North Shore University Hospital and Northwell Hospital Glen Cove.

When was this NPI record last updated?

The NPPES record for Tavya Benjamin was last updated on June 30, 2022. 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.