BENJAMIN C CAMPBELL MD
NPI 1609240613
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Mesa, AZ

Q: What is Benjamin Campbell's NPI number?

The NPI number for Benjamin Campbell is 1609240613. It was assigned to this individual provider in the NPPES registry on November 15, 2015.

Q: What is Benjamin Campbell's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Campbell was last updated on September 15, 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.

Active since November 15, 2015PECOS Enrolled

97.26/100

CMS Quality Rating

6007 E BASELINE RD STE 101, MESA, AZ 85206(480) 833-3698 Get Directions Write a Review

NPPES record last updated: September 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2024, Nov 21, 2022, Jun 24, 2021 and 4 more (7 updates tracked since 2015).

On this page

About Benjamin C Campbell Md NPPES

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

BENJAMIN C CAMPBELL MD (NPI 1609240613) is an individual ophthalmic plastic and reconstructive surgery provider in Mesa, Arizona, licensed in Arizona (62162) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2021).

NPPES Registry Identity

NPI1609240613

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NameBENJAMIN C CAMPBELLCredential: MD

Location Address6007 E BASELINE RD STE 101Mesa, AZ 85206-4801

Mailing Address6007 E Baseline Rd Ste 101Mesa, AZ 85206-4801 · (480) 833-3698 · Fax (480) 833-3755

Phone(480) 833-3698

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2021

Enumeration DateNovember 15, 2015

Last NPPES UpdateSeptember 15, 20247 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2024

✔ NPI 1609240613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

Licenses✔ Licensed in AZ · 62162✔ Licensed in IN · 01082001A

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License A147542 (CA), 01082001A (IN), 62162 (AZ)

6007 E BASELINE RD STE 101, Mesa, AZ 85206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., CareSource, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin C Campbell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527323674

PECOS Enrollment IDI20210707003713

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

Medicare enrollment records show Benjamin Campbell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Ophthalmic Facial Plastic Surgery PC

Same address

Ophthalmology

6007 E BASELINE RD, SUITE 101
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
2 clinicians in this Medicare group

NPI 1366886699 (480) 833-3698

Dl Professional Services LLC

2.9 mi

Dermatology

8405 E BASELINE RD STE 104
Mesa, AZ 85209

Reassigned Medicare billing, Arizona enrollment
4 clinicians in this Medicare group

NPI 1205422789 (480) 674-3295

District Medical Group, Inc

9.1 mi

Psychiatry

570 W BROWN RD, ADMINISTRATION
Mesa, AZ 85201

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1437482544 (480) 344-2000

La Laser Center, PC, A Professional Medical Corporation

343 mi

Multi-Specialty

161 AVENIDA VAQUERO
San Clemente, CA 92672

Reassigned Medicare billing, Arizona enrollment
23 clinicians in this Medicare group

NPI 1306982855 (949) 652-3095

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 17

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

243 services243 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.

116 services93 patients

Exam of visual field with limited testing 92081

An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.

93 services91 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

93 services91 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

49 services49 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

46 services45 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

39 services31 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

38 services38 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

36 services28 patients

Extensive repair of turning-outward eyelid defect 67917

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

29 services29 patients

Probing of nasal tear duct with insertion of tube or stent 68815

This procedure treats blocked tear ducts. A thin probe is gently inserted into the tear duct to clear any blockage. Afterwards, a small tube or stent is placed to keep the pathway open, allowing tears to drain normally again.

27 services26 patients

Repair of brow paralysis 67900

Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.

25 services25 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

25 services23 patients

Removal of foreign body or stone in tear passages 68530

This procedure involves the removal of foreign materials or stones blocking your tear passages. It's done to restore normal tear flow, reducing discomfort and preventing infection. It is a safe procedure typically performed by an eye specialist.

21 services20 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.

19 services19 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

14 services13 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

97.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.52

Improvement Activities

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRANT W HEINZ MD

Ophthalmology

6007 E BASELINE RD STE 101
MESA, AZ 85206

Maricopa County (480) 833-3698

JACQUELINE SUE SMITH RN

Registered Nurse

6007 E BASELINE RD STE 101
MESA, AZ 85206

Maricopa County (480) 833-3698

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 Campbell's NPI number?

The NPI number for Benjamin Campbell is 1609240613. It was assigned to this individual provider in the NPPES registry on November 15, 2015.

Where is Benjamin Campbell located?

Benjamin Campbell practices at 6007 E Baseline Rd Ste 101, Mesa, AZ 85206. The listed phone number is (480) 833-3698.

What is Benjamin Campbell's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Benjamin Campbell enrolled in Medicare?

Yes. Benjamin Campbell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Benjamin Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Campbell reassigns Medicare benefits to 4 organizations: Valley Ophthalmic Facial Plastic Surgery PC (Mesa, AZ), Dl Professional Services LLC (Mesa, AZ), District Medical Group, Inc (Mesa, AZ) and La Laser Center, PC, A Professional Medical Corporation (San Clemente, CA). 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 Benjamin Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Campbell accept?

Health plans from Antidote Health Plan of Arizona, Inc., CareSource, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Benjamin Campbell 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 Campbell was last updated on September 15, 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.