BENJAMIN CHIA M.D.
NPI 1639465024
Orthopaedic Surgery - Hand Surgery in Edmonds, WA

Q: What is Benjamin Chia's NPI number?

The NPI number for Benjamin Chia is 1639465024. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Benjamin Chia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Chia was last updated on March 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment

21401 72ND AVE W, EDMONDS, WA 98026(425) 412-1874(425) 304-1103 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2019, Mar 15, 2019, Mar 4, 2019 (3 updates tracked since 2019).

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About Benjamin Chia M.d. NPPES

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

BENJAMIN CHIA M.D. (NPI 1639465024) is an individual hand surgery provider in Edmonds, Washington, licensed in Washington (MD60663349) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639465024

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameBENJAMIN CHIACredential: M.D.

Location Address21401 72ND AVE WEdmonds, WA 98026-7702

Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 412-1874 · Fax (425) 304-1103

Phone(425) 412-1874

Fax(425) 304-1103

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2011

Enumeration DateJune 23, 2011

Last NPPES UpdateMarch 22, 20193 updates tracked since enumeration

✔ NPI 1639465024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in WA · MD60663349

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

21401 72ND AVE W, Edmonds, WA 98026

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Secondary Practice Locations 2

Location 122 S Greene St, S11BBaltimore, MD 21201-1544 · Phone (410) 328-8915

Location 23927 Rucker AveEverett, WA 98201-4833 · Phone (425) 339-5422 · Fax (425) 339-5444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, 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 Chia 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 ID6406155589

PECOS Enrollment IDI20170817002131

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 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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

761 services47 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.

156 services24 patients

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.

120 services81 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

118 services57 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.

116 services88 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

107 services73 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

71 services42 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

42 services29 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.

41 services36 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.

40 services40 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

38 services28 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

Cast supplies, short arm cast, adult (11 years +), fiberglass Q4010

A short arm cast, made from fiberglass, is often used for fractures or injuries to the wrist or forearm in adults and children over 11. It's lightweight, durable, and can be molded to fit your arm comfortably. This cast allows for limited movement while ensuring proper healing.

29 services25 patients

Application of elbow to finger cast 29075

An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.

27 services23 patients

Application of lower and upper arm splint 29105

An upper or lower arm splint application is a non-surgical procedure to support and protect your arm if it's injured. A splint, a rigid device, is applied to keep the arm stable, promote healing, and reduce pain. It's often used for fractures, sprains, or tendon injuries.

14 services13 patients

Cast supplies, long arm splint, adult (11 years +), plaster Q4017

A long arm splint is a supportive device made from plaster, used to stabilize and protect the arm in adults and children aged 11+. It extends from the upper arm to the hand, aiding in the healing of fractures or injuries.

14 services13 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500026

Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier16 claims17 services$51.60 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

1 supplier12 claims13 services$72.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 17

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

MRS. MEGHAN E SUELTENFUSS MSPT

Physical Therapist