Active NPI
Benjamin Willford, DO
- Family Medicine Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0064833
- Practice address
- 3205 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5147 - Phone
- (719) 632-5700
- Fax
- (719) 344-7814
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0064833 | CO | Primary |
Addresses
Primary practice location
3205 N Academy Blvd Ste 100
Colorado Springs, CO 80917-5147
Mailing address
8401 S Chambers Rd
Parker, CO 80134-9498
Phone (720) 875-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Memorial University Medical Department, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Ave H
Ely, NV 89301
1500 Ave H
Ely, NV 89301-2615
Phone (775) 289-3612
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.4 of 100
- Quality
- 27.48
- Improvement activities
- 0
- Cost
- 71.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0064833 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Bee Ririe Hospital | Current | Accepting new patients | |
| William Bee Ririe Retail Pharmacy | Current | Accepting new patients | |
| Rocky Vista Health Center LLC | Past | Accepting new patients | |
| William Bee Ririe Hospital | Family Medicine | Past | Accepting new patients |
Locations
1500 Avenue H
Ely, NV 89301
Phone (775) 289-3001
6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001
Interoperability endpoints
- https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Ely, NV
- NPI 1487648804
-
- Community/Retail Pharmacy
- Ely, NV
- NPI 1831729268
-
- Family Medicine Physician
- Englewood, CO
- NPI 1366606709
-
- Family Medicine Physician
- Ely, NV
- NPI 1437145422
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ely, NV
- NPI 1487648804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1508386418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 S CHAMBERS RD",
"city": "PARKER",
"state": "CO",
"postal_code": "801349498",
"telephone_number": "720-875-2880",
"fax_number": "720-875-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 N ACADEMY BLVD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175147",
"telephone_number": "719-632-5700",
"fax_number": "719-344-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLFORD",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0064833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.