Nicolas R Benoit, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

056-0000180 Issued in VT

Practice address

44 S Main St
Randolph, VT 05060-1381

Phone

(802) 728-7000

Fax

(802) 728-2613

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gifford Medical Center IncGroup PAC ID 4880683663, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gifford Medical Center Hospital, Randolph, VT, CCN 471301

Merit-based Incentive Payment System (MIPS)

Final score

80.28 of 100Reported as group

Quality

58.32

Promoting interoperability

100

Improvement activities

40

Cost

66.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gifford Medical Center Inc

  • Critical Access Hospital
  • Randolph, VT
  • NPI 1730199647

  VT

  Medicare reassignment Care Compare group NPD
• Gifford Medical Center Inc.

  • General Acute Care Hospital
  • Randolph, VT
  • NPI 1942329446

  VT

  Medicare reassignment Care Compare group NPD
• Gifford Medical Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Randolph, VT
  • NPI 1013928068
  Care Compare group NPD
• Foot Specialists of Cny PC

  • Podiatrist
  • East Syracuse, NY
  • NPI 1669526091
  NPD (past)
• Loretto Rest Realty Corporation

  • Clinic/Center
  • Syracuse, NY
  • NPI 1548366271
  NPD (past)

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

• Gifford Medical Center Inc

  • Critical Access Hospital
  • Randolph, VT
  • NPI 1730199647

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1992896948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "address_2": "P.O. BOX 2000",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601381",
            "telephone_number": "802-728-7000",
            "fax_number": "802-728-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S MAIN ST",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050601381",
            "telephone_number": "802-728-7000",
            "fax_number": "802-728-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "NICOLAS",
        "middle_name": "R",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006103",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VT",
            "license": "056-0000180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0000171",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013269",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oliver John Preston Barnyak, MD
• Lori Bean-McIntire, BS
• Jennifer Beaudin, LADC, LCMHC
• Melissa Marie Bemis, HSD
• Elise Walsh Bennett, L.AC
• Adam Bindrum
• Jonathan Edward Bjork, D.P.M.
• Nancy Lynn Blessing, PAC
• Kenneth G Borie, M.D.
• Katelyn Bowen, AA

• All providers in Randolph, VT
• Podiatrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.