Benjamin Nicholas, MD
NPI 1336631381 · Internal Medicine Physician · West Reading, PA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Nicholas, MD is a Internal Medicine Physician provider in West Reading, PA (NPI 1336631381).
Provider details
- NPI number
- 1336631381
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MT215514 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,707 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 310 | $120 |
| Imaging of Retina92134 | 234 | $37 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 126 | $85 |
| Established Patient Complete Exam of Visual System92014 | 124 | $118 |
| Closure of Tear Duct Opening Using Plug68761 | 122 | $180 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 119 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tobramycin/Dexamethasonebrand: Tobramycin-Dexamethasone | 223 | 176 |
| Erythromycin Basebrand: Erythromycin | 62 | 48 |
| Prednisolone Acetate | 46 | 34 |
| Latanoprost | 41 | 15 |
| Doxycycline Hyclate | 29 | 21 |
| Timolol Maleate | 26 | — |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 23 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$690 across 18 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
Registry dates
- Enumerated
- 2018-06-05
- Last updated
- 2018-06-05
Frequently asked questions
- What is Benjamin Nicholas's NPI number?
- Benjamin Nicholas's National Provider Identifier (NPI) is 1336631381, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Nicholas's specialty?
- Benjamin Nicholas is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Nicholas located?
- Benjamin Nicholas's practice location on file with NPPES is 420 S 5th Ave, West Reading, PA 19611-2143.
- What is Benjamin Nicholas's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Nicholas is (484) 628-8640.
- Does Benjamin Nicholas accept Medicare?
- Benjamin Nicholas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Nicholas's NPI active?
- Yes — Benjamin Nicholas's NPI (1336631381) is active in the NPPES registry as of the last update on 2018-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.