Benjamin Scallon, M.D.
NPI 1376923250 · Internal Medicine Physician · Boulder, CO
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Scallon, M.D. is a Internal Medicine Physician provider in Boulder, CO (NPI 1376923250).
Provider details
- NPI number
- 1376923250
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD463687 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
161 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 50 | $141 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 47 | $100 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 35 | $8 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 15 | $145 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 14 | $18 |
Typical Medicare-allowed amounts for these services range $8–$145 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 66 | 14 |
| Amlodipine Besylate | 27 | — |
| Tamsulosin Hcl | 19 | — |
| Losartan Potassium | 17 | — |
| Metformin Hcl | 16 | — |
| Levocetirizine Dihydrochloride | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (3)
- 200 Hawkins DrIowa City, IA 52242-1009Phone: (319) 384-9668
- 425 E 61st StNew York, NY 10065-8722Phone: (646) 962-2399
- 21 Geisinger LnLewistown, PA 17044Phone: (717) 242-4200Fax: (717) 242-4212
Registry dates
- Enumerated
- 2015-06-04
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Benjamin Scallon's NPI number?
- Benjamin Scallon's National Provider Identifier (NPI) is 1376923250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Scallon's specialty?
- Benjamin Scallon is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Scallon located?
- Benjamin Scallon's practice location on file with NPPES is 1645 Broadway, Boulder, CO 80302-6218.
- What is Benjamin Scallon's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Scallon is (303) 415-8900.
- Does Benjamin Scallon accept Medicare?
- Benjamin Scallon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Scallon's NPI active?
- Yes — Benjamin Scallon's NPI (1376923250) is active in the NPPES registry as of the last update on 2026-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.