Benjamin Nelson, M.D.
NPI 1023375011 · Urology Physician · Newark, NY
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Nelson, M.D. is a Urology Physician provider in Newark, NY (NPI 1023375011).
Provider details
- NPI number
- 1023375011
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
780 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 263 | $90 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 183 | $127 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 141 | $11 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 50 | $234 |
| Manual Urinalysis Test With Examination Using Microscope, Non-Automated81000 | 43 | $4 |
| Simple Insertion of Temporary Bladder Tube51702 | 42 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 175 | 71 |
| Trospium Chloride | 47 | 21 |
| Mirabegronbrand: Myrbetriq | 46 | 19 |
| Vibegronbrand: Gemtesa | 45 | 27 |
| Finasteride | 40 | 15 |
| Cephalexin | 21 | 12 |
| Alfuzosin Hclbrand: Alfuzosin Hcl Er | 19 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,147 across 53 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 200 North StGeneva, NY 14456-1561Phone: (315) 787-5272
- 220 Linden Oaks Ste 100Rochester, NY 14625-2839Phone: (585) 248-2019Fax: (585) 586-1755
- 601 Elmwood AveBox SurgRochester, NY 14642-0001Phone: (585) 275-2723
- 6532 Anthony DrVictor, NY 14564-1403Phone: (585) 398-8253
Registry dates
- Enumerated
- 2012-04-16
- Last updated
- 2022-12-16
- Certified
- 2022-12-16
Frequently asked questions
- What is Benjamin Nelson's NPI number?
- Benjamin Nelson's National Provider Identifier (NPI) is 1023375011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Nelson's specialty?
- Benjamin Nelson is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Nelson located?
- Benjamin Nelson's practice location on file with NPPES is 1202 Driving Park Ave, Newark, NY 14513.
- What is Benjamin Nelson's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Nelson is (315) 359-2690.
- Does Benjamin Nelson accept Medicare?
- Benjamin Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Nelson's NPI active?
- Yes — Benjamin Nelson's NPI (1023375011) is active in the NPPES registry as of the last update on 2022-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.