MS. EMILY SUZANNE BENSON M.D.
NPI 1861411753
Orthopaedic Surgery in Ventura, CA

Q: What is Emily Benson's NPI number?

The NPI number for Emily Benson is 1861411753. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Emily Benson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Benson was last updated on August 21, 2021. 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.

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

87.18/100

CMS Quality Rating

133 W SANTA CLARA ST, VENTURA, CA 93001(805) 641-5600(805) 641-5677 Get Directions Write a Review

NPPES record last updated: August 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Emily Suzanne Benson M.d. NPPES

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

MS. EMILY SUZANNE BENSON M.D. (NPI 1861411753) is an individual orthopaedic surgery provider in Ventura, California, licensed in California (A90636) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2000).

NPPES Registry Identity

NPI1861411753

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameMS. EMILY SUZANNE BENSONCredential: M.D.

Location Address133 W SANTA CLARA STVentura, CA 93001-2543

Mailing Address800 S Victoria Ave # L4640Ventura, CA 93009-0003 · (805) 641-5600 · Fax (805) 641-5677

Phone(805) 641-5600

Fax(805) 641-5677

Sole ProprietorYes

Medical School CMSBoston University School Of MedicineGraduated 2000

Enumeration DateJuly 19, 2006

Last NPPES UpdateAugust 21, 2021

NPPES CertifiedAugust 21, 2021

✔ NPI 1861411753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in CA · A90636

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.

133 W SANTA CLARA ST, Ventura, CA 93001

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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 and accepts Medicare assignment

Ms. Emily Suzanne Benson M.d. 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 ID3971500059

PECOS Enrollment IDI20061102000395

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 2

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 wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

21 services11 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93001 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

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.

87.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.09

Promoting Interoperability

100

Improvement Activities

Cost

56.53

Other Providers at the Same Location NPPES 9

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

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