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BENJAMIN A MARGOLIS M.D.
NPI 1770876922
Psychiatry & Neurology - Psychiatry in Middletown, NY

Active since May 20, 2011PECOS Enrolled
0/100
CMS Quality Rating
16-24 UNION STREET, MIDDLETOWN, NY 10940(845) 343-5556 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Benjamin A Margolis M.d. NPPES

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

BENJAMIN A MARGOLIS M.D. (NPI 1770876922) is an individual psychiatry provider in Middletown, New York, licensed in New York (288852) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770876922
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameBENJAMIN A MARGOLISCredential: M.D.
Location Address16-24 UNION STREETMiddletown, NY 10940
Mailing Address48 Laura LnWarwick, NY 10990-1062 · (917) 669-2645
Phone(845) 343-5556
Sole ProprietorNo
Enumeration DateMay 20, 2011
Last NPPES UpdateJanuary 10, 2020
✔ NPI 1770876922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NY · 288852✔ Licensed in RI · MD14779
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License MD14779 (RI), 288852 (NY)
16-24 UNION STREET, Middletown, NY 10940
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin A Margolis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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 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.
754 services221 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.
437 services154 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.
63 services31 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
22 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$187.05 typical visit price
range $61.88 – $187.05
Typical copayment $46.76 (range $15.47 – $46.76)
Most-billed visit code 99205
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0

Other Providers at the Same Location NPPES 6

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

MR. THOMAS DAVIDE PALMIERI LMSW
Counselor (Professional)
16-24 UNION STREET
MIDDLETOWN, NY 10940
Orange County (845) 343-5556
KENNETH AUSTIN COTTLE LMSW
Social Worker (Clinical)
16-24 UNION STREET
MIDDLETOWN, NY 10940
Orange County (845) 343-5556
LIYE ZHOU LMHC
Counselor (Mental Health)
16-24 UNION STREET
MIDDLETOWN, NY 10940
Orange County (845) 394-4945
GENOA HEALTHCARE LLC
Pharmacy (Community/Retail Pharmacy)
16-24 UNION STREET, SUITE P
MIDDLETOWN, NY 10940
Orange County (845) 394-2447
MARIE MCDOWELL RN
Registered Nurse (Community Health)
16-24 UNION STREET
MIDDLETOWN, NY 10940
Orange County (845) 741-7862
MRS. ALVA MARTELL-ORTIZ FPA
Peer Specialist
16-24 UNION STREET
MIDDLETOWN, NY 10940
Orange County (845) 281-5575

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 Margolis's NPI number?

The NPI number for Benjamin Margolis is 1770876922. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Where is Benjamin Margolis located?

Benjamin Margolis practices at 16-24 Union Street, Middletown, NY 10940. The listed phone number is (845) 343-5556.

What is Benjamin Margolis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Benjamin Margolis enrolled in Medicare?

Yes. Benjamin Margolis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Margolis was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.