DR. BENJAMIN DANIEL BRADFORD M.D.
NPI 1629336128
Otolaryngology - Facial Plastic Surgery in Stateline, NV

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
276 KINGSBURY GRADE # 101, STATELINE, NV 89449(775) 588-5000 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2023, Apr 19, 2017, Apr 12, 2017 (3 updates tracked since 2017).

About Dr. Benjamin Daniel Bradford M.d. NPPES

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

DR. BENJAMIN DANIEL BRADFORD M.D. (NPI 1629336128) is an individual facial plastic surgery provider in Stateline, Nevada, licensed in Nevada (22619) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2012).

NPPES Registry Identity

NPI1629336128
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. BENJAMIN DANIEL BRADFORDCredential: M.D.
Location Address276 KINGSBURY GRADE # 101Stateline, NV 89449-9804
Mailing AddressPo Box 5910Stateline, NV 89449-5910 · (775) 588-5000
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2012
Enumeration DateMay 3, 2012
Last NPPES UpdateJanuary 30, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1629336128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Licenses Licensed in NV · 22619 Licensed in CA · A126409 Licensed in NY · 286986
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedDermatologyTaxonomy 207N00000X · License 22619 (NV)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 22619 (NV)
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 22619 (NV)
276 KINGSBURY GRADE # 101, Stateline, NV 89449

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. Benjamin Daniel Bradford 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 ID7719264829
PECOS Enrollment IDI20230321002643
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 38

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
5,381 services591 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
875 services665 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.
862 services664 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
776 services612 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
473 services392 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
460 services350 patients

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

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 Bradford's NPI number?

The NPI number for Benjamin Bradford is 1629336128. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Benjamin Bradford located?

Benjamin Bradford practices at 276 Kingsbury Grade # 101, Stateline, NV 89449. The listed phone number is (775) 588-5000.

What is Benjamin Bradford's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Benjamin Bradford enrolled in Medicare?

Yes. Benjamin Bradford 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.

When was this NPI record last updated?

The NPPES record for Benjamin Bradford was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.