NPIMap

Individual provider Active NPI

Benjamin Forest Plucknette, D.O.

  • Surgery of the Hand (Surgery) Physician
  • Rochester, NY
National Provider Identifier
1790050425
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
326790-01 Issued in NY
Practice address
30 Hagen Dr Ste 220
Rochester, NY 14625-2696
Phone
(585) 295-5390
NPI assigned
Mar 13, 2012
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 326790-01 NY Primary

Addresses

Primary practice location

30 Hagen Dr Ste 220
Rochester, NY 14625-2696

Mailing address

30 Hagen Dr Ste 220
Rochester, NY 14625-2696
Phone (585) 295-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211207001934 SD Practitioner - Orthopedic Surgery 6406071224 Reassigns benefits to 1 organization
I20240514002527 NY Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 6406071224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Rochester Orthopaedics, PCGroup PAC ID 9931091261, 11 clinicians

Practice addresses (Care Compare)

30 Hagen Dr
Suite 220
Rochester, NY 14625-2658
Phone (585) 295-5476

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)69
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
326790-01NYMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Rochester Orthopaedics, PC Orthopaedic Surgery CurrentSince Jul 8, 2024 Accepting new patients
Acute Care Surgery of South Dakota PC Orthopaedic Surgery CurrentSince Dec 2, 2021 Accepting new patients
Rochester General Hospital PastSince Jul 8, 2024 Accepting new patients
Westside Orthopaedic Group P.C. Orthopaedic Surgery Past Accepting new patients

Locations

2211 Lyell Ave
Ste 107
Rochester, NY 14606
Phone (585) 295-5476

2621 Culver Rd
Rochester, NY 14609
Phone (585) 295-5476

30 Hagen Dr
Ste 220
Rochester, NY 14625
Phone (585) 295-5476

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1790050425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAGEN DR STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252696",
            "telephone_number": "585-295-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAGEN DR STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252696",
            "telephone_number": "585-295-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUCKNETTE",
        "first_name": "BENJAMIN",
        "middle_name": "FOREST",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-13",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "326790-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.