David Lance Benisch, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

132568 Issued in NY

Practice address

124 Main St Ste 16
Huntington, NY 11743-6922

Phone

(631) 423-7000

Fax

(631) 423-9276

NPI assigned

Jul 4, 2006

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

General SurgeryAlso: Vascular Surgery

Education

State University of New York Downstate Medical Center, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgical Specialists of Greater Ny LLPGroup PAC ID 3375729833, 12 clinicians

Related Surgical Specialties, PCGroup PAC ID 7810351459, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

82.1

Promoting interoperability

100

Improvement activities

40

Cost

72.34

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

• Related Surgical Specialties, PC

  • Surgery Physician
  • New York, NY
  • NPI 1780308106

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Surgical Specialists of Greater Ny LLP

  • Surgery Physician
  • Oyster Bay, NY
  • NPI 1023315512
  Medicare reassignment Care Compare group
• City Medical of Upper East Side, PLLC

  dba CityMD Urgent Care

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629

  Multi-Specialty

  Medicare reassignment NPD
• David L Benisch, MD PC

  • Clinic/Center
  • Huntington, NY
  • NPI 1528233889
  Authorized official Same address or phone
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1740913763
  NPD
• City Medical of Upper East Side, PLLC

  dba CityMD Urgent Care

  • Urgent Care Clinic/Center
  • Farmingville, NY
  • NPI 1922598598
  NPD
• Related Surgical Specialties, PC

  • Surgery Physician
  • Greenwich, CT
  • NPI 1700661857

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1689604415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAIN ST STE 16",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436922",
            "telephone_number": "631-423-7000",
            "fax_number": "631-423-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST STE 16",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436922",
            "telephone_number": "631-423-7000",
            "fax_number": "631-423-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENISCH",
        "first_name": "DAVID",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "132568",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "132568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00425470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Louise Bell, R.N.
• Allison Bellesheim, PA-C
• Monique Adrienne Belton, PH.D.
• Steven Robert Benardo, DDS
• Andrew Paul Benevento, LCSW
• Lila Jean Benitez, RN
• Tanya Benitez, LMSW
• Lois Mary Bennardo, M.S. CCC-A
• Bennett Surgical Supply Inc
• Justin Bennett, D.O.

• Specialist in Huntington, NY
• Providers in Huntington, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.

Verify at the official NPI Registry.