DR. BENJAMIN W LIGHT M.D., F.A.C.S.
NPI 1760463632
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Decatur, AL

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
86.48/100
CMS Quality Rating
1218 13TH AVE SE, DECATUR, AL 35601(256) 355-6200(256) 355-6241 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin W Light M.d., F.a.c.s. NPPES

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

DR. BENJAMIN W LIGHT M.D., F.A.C.S. (NPI 1760463632) is an individual otolaryngology/facial plastic surgery provider in Decatur, Alabama, licensed in Alabama (00024976) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1994).

NPPES Registry Identity

NPI1760463632
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. BENJAMIN W LIGHTCredential: M.D., F.A.C.S.
Location Address1218 13TH AVE SEDecatur, AL 35601-4307
Mailing Address1218 13th Ave SeDecatur, AL 35601-4307 · (256) 355-6200 · Fax (256) 355-6241
Fax(256) 355-6241
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1994
Enumeration DateNovember 8, 2005
Last NPPES UpdateJanuary 28, 2013
NPI 1760463632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in AL · 00024976
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
1218 13TH AVE SE, Decatur, AL 35601

Other Identifiers 7

Other051512384AL · Provider Number
Medicare UPINH21368AL
Medicaid051512384AL
Other515-12384AL · Bcbs
OtherCM6320AL · Railroad Medicare
OtherP00017388AL · Railroad Medicare
Medicare ID-Type Unspecified051512384AL · Provider Number

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. Benjamin W Light M.d., F.a.c.s. 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 ID2961482260
PECOS Enrollment IDI20101012001160
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 13

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,280 services33 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
351 services13 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
337 services42 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
245 services13 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.
114 services92 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
84 services71 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.

86.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost54.95

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
67%88 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
97%115 patients4/55-star benchmark: 100%
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
48%29 patients3/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
9%35 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,075 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
30%506 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%126 patients
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.

Other Providers at the Same Location NPPES 11

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

Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Otolaryngology (Facial Plastic Surgery)
1218 13TH AVE SE
DECATUR, AL 35601
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Otolaryngology
1218 13TH AVE SE
DECATUR, AL 35601
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Otolaryngology
1218 13TH AVE SE
DECATUR, AL 35601
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601

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 Light's NPI number?

The NPI number for Benjamin Light is 1760463632. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Benjamin Light located?

Benjamin Light practices at 1218 13th Ave SE, Decatur, AL 35601. The listed phone number is (256) 355-6200.

What is Benjamin Light's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Benjamin Light enrolled in Medicare?

Yes. Benjamin Light 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 Benjamin Light accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Benjamin Light 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.

When was this NPI record last updated?

The NPPES record for Benjamin Light was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.