Benjamin Margolis, M.D.
NPI 1770876922 · Psychiatry Physician · Middletown, NY
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Margolis, M.D. is a Psychiatry Physician provider in Middletown, NY (NPI 1770876922).
Provider details
- NPI number
- 1770876922
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 288852 (NY)
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 tenure25% of score
15 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
1,276 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 | 754 | $75 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 437 | $109 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 63 | $162 |
| Psychotherapy, 30 Minutes90832 | 22 | $76 |
Typical Medicare-allowed amounts for these services range $75–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 83 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sertraline Hcl | 916 | 64 |
| Olanzapine | 842 | 54 |
| Risperidone | 774 | 54 |
| Divalproex Sodium | 562 | 38 |
| Clozapine | 459 | 17 |
| Escitalopram Oxalate | 414 | 36 |
| Benztropine Mesylate | 403 | 46 |
| Fluoxetine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$86 across 1 record (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
- 2011-05-20
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Frequently asked questions
- What is Benjamin Margolis's NPI number?
- Benjamin Margolis's National Provider Identifier (NPI) is 1770876922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Margolis's specialty?
- Benjamin Margolis is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Margolis located?
- Benjamin Margolis's practice location on file with NPPES is 16-24 Union Street, Middletown, NY 10940.
- What is Benjamin Margolis's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Margolis is (845) 343-5556.
- Does Benjamin Margolis accept Medicare?
- Benjamin Margolis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Margolis's NPI active?
- Yes — Benjamin Margolis's NPI (1770876922) is active in the NPPES registry as of the last update on 2020-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.