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DR. BENJAMIN ELIE FOMBONNE MD
NPI 1932669439
Emergency Medicine in Stony Brook, NY

Active since March 21, 2019PECOS Enrolled
101 NICOLLS RD RM 50, STONY BROOK, NY 11794(631) 444-2499(631) 444-3919 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Benjamin Elie Fombonne Md NPPES

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

DR. BENJAMIN ELIE FOMBONNE MD (NPI 1932669439) is an individual emergency medicine provider in Stony Brook, New York, licensed in New York (314533) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932669439
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BENJAMIN ELIE FOMBONNECredential: MD
Location Address101 NICOLLS RD RM 50Stony Brook, NY 11794-0001
Mailing Address103 Whittier PlPort Jefferson, NY 11777-1619 · (202) 549-8587
Phone(631) 444-2499
Fax(631) 444-3919
Sole ProprietorNo
Enumeration DateMarch 21, 2019
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1932669439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 314533
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 NICOLLS RD RM 50, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Elie Fombonne Md 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.

Medicare Billing Reassignment

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

Stony Brook Emergency Physicians, University Faculty Practice Corporat
0.5 mi
Emergency Medicine
SUNY @ STONY BROOK, UNIVERSITY HOSPITAL, L4, RM 515
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 77 clinicians in this Medicare group
NPI 1265487672 (631) 444-2406

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 8

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
476 services468 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
82 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
73 services73 patients
Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
52 services52 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
48 services48 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
34 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

JESSE T MCCARTHY PA
Physician Assistant
101 NICOLLS RD RM 50
STONY BROOK, NY 11794
Suffolk County (631) 444-2465
DR. NICOLE ANNE CASIO MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 50
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
ANDREW MOZIER DO
Emergency Medicine
101 NICOLLS RD RM 50
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
JILLIAN ASHLEY LEIBOWITZ DO
Emergency Medicine
101 NICOLLS RD RM 50
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
GREGORY DANIEL SINYAKOV MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 50
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
BENJAMIN SHAO DO
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 50
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
JULIA SUNGEUN AHN
Physician Assistant
101 NICOLLS RD RM 50
STONY BROOK, NY 11794
Suffolk County (631) 444-2478
CHRISTOPHER LOH MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD RM 50
STONY BROOK, NY 11794
Suffolk County (631) 444-3880

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 Fombonne's NPI number?

The NPI number for Benjamin Fombonne is 1932669439. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Benjamin Fombonne located?

Benjamin Fombonne practices at 101 Nicolls Rd Rm 50, Stony Brook, NY 11794. The listed phone number is (631) 444-2499.

What is Benjamin Fombonne's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Fombonne enrolled in Medicare?

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

Which organization bills Medicare for Benjamin Fombonne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Fombonne reassigns Medicare benefits to Stony Brook Emergency Physicians, University Faculty Practice Corporat (Stony Brook, NY). 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 Benjamin Fombonne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Fombonne was last updated on June 15, 2022. 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.