DR. BENJAMIN A. HERNANDEZ VELASCO MD
NPI 1720181282
Internal Medicine in Santa Rosa, CA

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
1165 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 547-5437(707) 547-5430 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2022, Mar 17, 2018, Dec 15, 2017 (3 updates tracked since 2017).

About Dr. Benjamin A. Hernandez Velasco Md NPPES

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

DR. BENJAMIN A. HERNANDEZ VELASCO MD (NPI 1720181282) is an individual internal medicine provider in Santa Rosa, California, licensed in California (C150323) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Juan, and is a graduate of University Of California, San Francisco School Of Medicine (1997).

NPPES Registry Identity

NPI1720181282
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BENJAMIN A. HERNANDEZ VELASCOCredential: MD
Location Address1165 MONTGOMERY DRSanta Rosa, CA 95405-4801
Mailing Address200 W Center Street Promenade Ste 400Anaheim, CA 92805-3960 · (714) 449-4800 · Fax (714) 449-4956
Fax(707) 547-5430
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1997
Enumeration DateSeptember 7, 2006
Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration
NPI 1720181282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · C150323 Licensed in PR · 13840
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 13840 (PR)
Also ListedHospitalistTaxonomy 208M00000X · License 13840 (PR)
1165 MONTGOMERY DR, Santa Rosa, CA 95405

Secondary Practice Location 1

Location 1Urb. Caribe, Bori St. #1568San Juan, PR 00927 · Phone (787) 758-1755

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 A. Hernandez Velasco Md 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 ID8224212055
PECOS Enrollment IDI20171018000574
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%319 patients4/55-star benchmark: 100%
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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers23 claims23 services$776.33 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.

Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Occupational Therapist (Physical Rehabilitation)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Registered Nurse (Medical-Surgical)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology (Pain Medicine)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Pharmacist
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Emergency Medicine
1165 MONTGOMERY DR, SANTA ROSA MEMORIAL HOSPITAL
SANTA ROSA, CA 95405
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405

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 Hernandez Velasco's NPI number?

The NPI number for Benjamin Hernandez Velasco is 1720181282. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Benjamin Hernandez Velasco located?

Benjamin Hernandez Velasco practices at 1165 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 547-5437.

What is Benjamin Hernandez Velasco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Benjamin Hernandez Velasco enrolled in Medicare?

Yes. Benjamin Hernandez Velasco 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 Hernandez Velasco was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.