MR. MICHAEL BENSON M.D.
NPI 1952720369
Urology in Belleville, NJ

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
36 NEWARK AVE STE 200, BELLEVILLE, NJ 07109(973) 759-6180(973) 759-2006 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2021, May 30, 2019 (2 updates tracked since 2019).

About Mr. Michael Benson M.d. NPPES

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

MR. MICHAEL BENSON M.D. (NPI 1952720369) is an individual urology provider in Belleville, New Jersey, licensed in New Jersey (25MA10533000) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952720369
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMR. MICHAEL BENSONCredential: M.D.
Location Address36 NEWARK AVE STE 200Belleville, NJ 07109-4121
Mailing Address36 Newark Ave Ste 200Belleville, NJ 07109-4121 · (973) 759-6180 · Fax (973) 759-2006
Fax(973) 759-2006
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1952720369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NJ · 25MA10533000
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
36 NEWARK AVE STE 200, Belleville, NJ 07109

Secondary Practice Locations 2

Location 1799 Bloomfield Ave Ste 300Verona, NJ 07044-1301 · Phone (973) 239-1112 · Fax (973) 239-4448
Location 2185 S Orange Ave, MSB G530Newark, NJ 07103-2757 · Phone (973) 972-6639

Other Identifiers 1

MedicaidPENDINGNJ

Accepted Insurance

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

Mr. Michael 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 ID4981937398
PECOS Enrollment IDI20190617001937
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 31

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
465 services245 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.
365 services215 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
355 services130 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.
288 services170 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
118 services100 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
99 services78 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
36 NEWARK AVE STE 200
BELLEVILLE, NJ 07109

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 Michael Benson's NPI number?

The NPI number for Michael Benson is 1952720369. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Michael Benson located?

Michael Benson practices at 36 Newark Ave Ste 200, Belleville, NJ 07109. The listed phone number is (973) 759-6180.

What is Michael Benson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Benson enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Benson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael 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.

Is Michael Benson affiliated with any hospitals?

According to CMS data, Michael Benson is affiliated with Hackensack University Medical Center, Clara Maass Medical Center and Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Michael Benson was last updated on July 1, 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.