Individual provider Active NPI

Benson Chen, M.D.

  • Ophthalmology Physician
  • Bellevue, WA
National Provider Identifier
1306906722
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00047239 Issued in WA
Practice address
12600 SE 38TH St
#108
Bellevue, WA 98006-6105
Phone
(425) 298-5005
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00047239 WA Primary

Addresses

Primary practice location

12600 SE 38TH St
#108
Bellevue, WA 98006-6105

Mailing address

12600 SE 38TH St
#108
Bellevue, WA 98006-6105
Phone (425) 298-5005

Other identifiers 2

IdentifierTypeStateIssuer
1306906722OtherWANPI
2000274MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090413000304 WA Practitioner - Ophthalmology 6800943747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Chicago College of Medicine and Surgery, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12600 SE 38TH St
Suite 108
Bellevue, WA 98006-5232
Phone (425) 644-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.43 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00047239WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Medical Group, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: direct@washingtoneyecarebellevuewa.compulinkdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1306906722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST",
            "address_2": "#108",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066105",
            "telephone_number": "425-298-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST",
            "address_2": "#108",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066105",
            "telephone_number": "425-298-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00047239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306906722",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000274",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.