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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BENJAMIN DELLARIA
NPI 1942695713
Family Medicine in New London, WI

Active since March 30, 2015PECOS Enrolled
95.81/100
CMS Quality Rating
1405 MILL ST, NEW LONDON, WI 54961(920) 531-2400(920) 531-2404 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2026, Jul 23, 2026, Apr 27, 2018 (3 updates tracked since 2018).

About Benjamin Dellaria NPPES

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

BENJAMIN DELLARIA (NPI 1942695713) is an individual family medicine provider in New London, Wisconsin, licensed in Wisconsin (66415) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension Calumet Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942695713
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN DELLARIA
Location Address1405 MILL STNew London, WI 54961-2155
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900
Phone(920) 531-2400
Fax(920) 531-2404
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateAugust 10, 20263 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1942695713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 66415
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 66415 (WI)
1405 MILL ST, New London, WI 54961
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1618 Memorial DrChilton, WI 53014-1568 · Phone (920) 849-3800
Location 2100 County Road BShawano, WI 54166-7072 · Phone (715) 524-2161

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 Dellaria is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941583793
PECOS Enrollment IDI20170202000073
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

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Calumet Hospital

Critical Access Hospitals · Chilton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521317
Location614 Memorial DriveChilton, WI 53014 · Calumet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54961 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

95.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims62 services$6.51 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

SIERRA RENEE KACZOCHA
Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2031
MRS. AMANDA KAY DOUMA APNP
Nurse Practitioner (Family)
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2021
NATALIE G GAUTHIER APNP
Nurse Practitioner
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2400
COURTNEY NICOLE GARCIA PT
Physical Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2000
MRS. KIMBERLY ILEANA JACOBS OTR
Occupational Therapist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2031
THEDACARE MEDICAL CENTER - NEW LONDON, INC.
Anesthesiology
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2092
MRS. JAYME M CWIK PTA
Physical Therapy Assistant
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (888) 982-3550
DR. JAMES MICHAEL DOOLIN RPH
Pharmacist
1405 MILL ST
NEW LONDON, WI 54961
Waupaca County (920) 531-2400

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 Dellaria's NPI number?

The NPI number for Benjamin Dellaria is 1942695713. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Benjamin Dellaria located?

Benjamin Dellaria practices at 1405 Mill St, New London, WI 54961. The listed phone number is (920) 531-2400.

What is Benjamin Dellaria's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Dellaria enrolled in Medicare?

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

Is Benjamin Dellaria affiliated with any hospitals?

According to CMS data, Benjamin Dellaria is affiliated with Ascension Calumet Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Dellaria was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.