JOHN C GRADY-BENSON MD
NPI 1851398614
Orthopaedic Surgery in Hartford, CT

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
31 SEYMOUR ST STE 100, HARTFORD, CT 06106(860) 549-3210(860) 247-3803 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2021, Nov 8, 2019, Apr 24, 2018 (3 updates tracked since 2018).

About John C Grady-benson Md NPPES

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

JOHN C GRADY-BENSON MD (NPI 1851398614) is an individual orthopaedic surgery provider in Hartford, Connecticut, licensed in Connecticut (035384) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1985).

NPPES Registry Identity

NPI1851398614
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN C GRADY-BENSONCredential: MD
Location Address31 SEYMOUR ST STE 100Hartford, CT 06106-5501
Mailing Address74 Batterson Park Rd Ste 107Farmington, CT 06032-2565 · (860) 549-3210 · Fax (860) 247-3803
Fax(860) 247-3803
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1985
Enumeration DateJuly 7, 2005
Last NPPES UpdateJune 24, 20213 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1851398614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CT · 035384
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
31 SEYMOUR ST STE 100, Hartford, CT 06106

Other Identifiers 1

Medicaid001353846CT

Accepted 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

John C Grady-benson 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 ID7416920327
PECOS Enrollment IDI20100827000704
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 Reassignments

2

Medicare enrollment records show John Grady-benson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
31 SEYMOUR STREET, SUITE 100
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 90 clinicians in this Medicare group
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group

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 16

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.

X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
196 services151 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.
169 services132 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
162 services93 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
100 services67 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
86 services21 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.
80 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
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 18

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

Orthopaedic Surgery
31 SEYMOUR ST STE 100
HARTFORD, CT 06106
Physical Medicine & Rehabilitation
31 SEYMOUR ST STE 100
HARTFORD, CT 06106
Physical Medicine & Rehabilitation
31 SEYMOUR ST STE 100
HARTFORD, CT 06106
Orthopaedic Surgery
31 SEYMOUR ST STE 100
HARTFORD, CT 06106
Physical Medicine & Rehabilitation (Pain Medicine)
31 SEYMOUR ST STE 100
HARTFORD, CT 06106
Orthopaedic Surgery
31 SEYMOUR ST STE 100
HARTFORD, CT 06106
Orthopaedic Surgery
31 SEYMOUR ST STE 100
HARTFORD, CT 06106
Orthopaedic Surgery
31 SEYMOUR ST STE 100
HARTFORD, CT 06106

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 John Grady-benson's NPI number?

The NPI number for John Grady-benson is 1851398614. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is John Grady-benson located?

John Grady-benson practices at 31 Seymour St Ste 100, Hartford, CT 06106. The listed phone number is (860) 549-3210.

What is John Grady-benson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Grady-benson enrolled in Medicare?

Yes. John Grady-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.

Which organizations bill Medicare for John Grady-benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Grady-benson reassigns Medicare benefits to 2 organizations: Orthopedic Associates Of Hartford,pc (Hartford, CT) and Hartford Hospital (Hartford, CT). Each 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 John Grady-benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Grady-benson accept?

Health plans from Anthem Blue Cross and Blue Shield list John Grady-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.

When was this NPI record last updated?

The NPPES record for John Grady-benson was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.