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DR. ERIN PAULINE BENJAMIN D.O.
NPI 1790052207
Ophthalmology in Bluffton, SC

Active since November 28, 2011PECOS EnrolledAccepts Medicare Assignment
51.3/100
CMS Quality Rating
23 PLANTATION PARK DR STE 401, BLUFFTON, SC 29910(845) 815-5454(843) 757-9665 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, Apr 24, 2019 (2 updates tracked since 2019).

About Dr. Erin Pauline Benjamin D.o. NPPES

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

DR. ERIN PAULINE BENJAMIN D.O. (NPI 1790052207) is an individual ophthalmology provider in Bluffton, South Carolina, licensed in South Carolina (D087854) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hilton Head Island, and is a graduate of Philadelphia College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1790052207
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ERIN PAULINE BENJAMINCredential: D.O.
Location Address23 PLANTATION PARK DR STE 401Bluffton, SC 29910-6094
Mailing Address23 Plantation Park Dr Ste 401Bluffton, SC 29910-6094 · (845) 815-5454 · Fax (843) 757-9665
Phone(845) 815-5454
Fax(843) 757-9665
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2009
Enumeration DateNovember 28, 2011
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1790052207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in SC · D087854
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License D087854 (SC)
23 PLANTATION PARK DR STE 401, Bluffton, SC 29910
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Secondary Practice Location 1

Location 160 N Main St Unit AHilton Head Island, SC 29926-6603 · Phone (843) 815-5454 · Fax (843) 757-9665

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Erin Pauline Benjamin D.o. 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 ID6507096559
PECOS Enrollment IDI20230415000180
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.

Medicare Billing Reassignment

Medicare enrollment records show Erin Benjamin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goulas Eye
Same address
Ophthalmology
23 PLANTATION PARK DR STE 401
Bluffton, SC 29910
  • Reassigned Medicare billing, South Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1629419007 (843) 757-9661

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
514 services482 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
440 services292 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
374 services360 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
182 services182 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
147 services53 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
131 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29910 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

51.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability0
Improvement Activities40
Cost21.02

Other Providers at the Same Location NPPES 2

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

DR. MARK T GOULAS M.D.
Ophthalmology
23 PLANTATION PARK DR STE 401
BLUFFTON, SC 29910
Beaufort County (843) 815-5454
GOULAS EYE
Ophthalmology
23 PLANTATION PARK DR STE 401
BLUFFTON, SC 29910
Beaufort County (843) 757-9661

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 Erin Benjamin's NPI number?

The NPI number for Erin Benjamin is 1790052207. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Where is Erin Benjamin located?

Erin Benjamin practices at 23 Plantation Park Dr Ste 401, Bluffton, SC 29910. The listed phone number is (845) 815-5454.

What is Erin Benjamin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Erin Benjamin enrolled in Medicare?

Yes. Erin Benjamin 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.

Which organization bills Medicare for Erin Benjamin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Benjamin reassigns Medicare benefits to Goulas Eye (Bluffton, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Benjamin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Benjamin accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare and 1 other insurer list Erin Benjamin 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 Erin Benjamin was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.