DR. NICHOLAS H BENSON M.D.
NPI 1710935895
Internal Medicine - Pulmonary Disease in St. Paul, MN

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
401 PHALEN BLVD, HEALTHPARTNERS SPECIALITY CENTER 401, ST. PAUL, MN 55130(651) 254-7670(651) 254-7676 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicholas H Benson M.d. NPPES

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

DR. NICHOLAS H BENSON M.D. (NPI 1710935895) is an individual pulmonary disease provider in St. Paul, Minnesota, licensed in Minnesota (45325) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1710935895
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. NICHOLAS H BENSONCredential: M.D.
Location Address401 PHALEN BLVD, HEALTHPARTNERS SPECIALITY CENTER 401St. Paul, MN 55130-5302
Mailing Address8170 33rd Ave S, Ms21110qMinneapolis, MN 55425-4516 · (952) 883-5375 · Fax (651) 254-7676
Fax(651) 254-7676
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateMay 4, 2006
Last NPPES UpdateDecember 28, 2011
NPI 1710935895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MN · 45325
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 45325 (MN)
401 PHALEN BLVD, St. Paul, MN 55130

Accepted 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

Dr. Nicholas H Benson 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 ID6507963063
PECOS Enrollment IDI20070517000115, I20090427000167
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 21

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.
214 services164 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
125 services100 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
56 services49 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
52 services49 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
49 services47 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
48 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521335
Location405 Stageline RoadHudson, WI 54016 · St. Croix County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
18 suppliers202 claims202 services$31.73 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers15 claims32 services$1.70 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers140 claims140 services$67.98 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
18 suppliers115 claims249 services$25.94 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers107 claims444 services$14.11 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers41 claims139 services$12.47 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.

Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Pulmonary Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Physician Assistant
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Critical Care Medicine)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Rheumatology)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Optometrist
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Infectious Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130

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 Nicholas Benson's NPI number?

The NPI number for Nicholas Benson is 1710935895. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Nicholas Benson located?

Nicholas Benson practices at 401 Phalen Blvd Healthpartners Speciality Center 401, St. Paul, MN 55130. The listed phone number is (651) 254-7670.

What is Nicholas Benson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nicholas Benson enrolled in Medicare?

Yes. Nicholas 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.

What insurance does Nicholas Benson accept?

Health plans from HealthPartners and Medica list Nicholas Benson 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.

Is Nicholas Benson affiliated with any hospitals?

According to CMS data, Nicholas Benson is affiliated with Lakeview Memorial Hospital, Regions Hospital, Amery Hospital & Clinic, Hudson Hospital and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Nicholas Benson was last updated on December 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.