DR. SCOTT M BENSON DO
NPI 1669597639
Internal Medicine - Nephrology in Hartford, CT

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
85 SEYMOUR ST, SUITE 900, HARTFORD, CT 06106(860) 241-0700(860) 525-7881 Get Directions Write a Review

NPPES record last updated: February 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott M Benson Do NPPES

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

DR. SCOTT M BENSON DO (NPI 1669597639) is an individual nephrology provider in Hartford, Connecticut, licensed in Maine (T0642) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2002).

NPPES Registry Identity

NPI1669597639
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SCOTT M BENSONCredential: DO
Location Address85 SEYMOUR ST, SUITE 900Hartford, CT 06106-5501
Mailing Address2110 Silas Deane HwyRocky Hill, CT 06067-2313 · (860) 258-3470 · Fax (860) 571-6800
Fax(860) 525-7881
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2002
Enumeration DateMarch 20, 2007
Last NPPES UpdateFebruary 21, 2010
NPI 1669597639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in ME · T0642
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
85 SEYMOUR ST, Hartford, CT 06106

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. Scott M Benson Do 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 ID2365513918
PECOS Enrollment IDI20080625000427
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
433 services148 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
233 services75 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
95 services20 patients
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
72 services58 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
71 services64 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.
61 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%780 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%33 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%563 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
10%563 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%563 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.54 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$17.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist (General Practice)
85 SEYMOUR ST, SUITE 922
HARTFORD, CT 06106
Radiology (Diagnostic Radiology)
85 SEYMOUR ST, SUITE 200
HARTFORD, CT 06106
Surgery (Vascular Surgery)
85 SEYMOUR ST, SUITE 409
HARTFORD, CT 06106
Internal Medicine
85 SEYMOUR ST, SUITE 1009
HARTFORD, CT 06106
Internal Medicine (Pulmonary Disease)
85 SEYMOUR ST, SUITE 923
HARTFORD, CT 06106
Internal Medicine (Gastroenterology)
85 SEYMOUR ST, 1000
HARTFORD, CT 06106
Student in an Organized Health Care Education/Training Program
85 SEYMOUR ST
HARTFORD, CT 06106
Orthopaedic Surgery
85 SEYMOUR ST, SUITE 607
HARTFORD, CT 06106

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 Scott Benson's NPI number?

The NPI number for Scott Benson is 1669597639. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Scott Benson located?

Scott Benson practices at 85 Seymour St Suite 900, Hartford, CT 06106. The listed phone number is (860) 241-0700.

What is Scott Benson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Scott Benson enrolled in Medicare?

Yes. Scott Benson 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 Scott Benson was last updated on February 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.