Active NPI 1043633324 Individual Practitioner Male Practitioner

Benjamin Miceli , PA-C

Physician Assistant • Fort Collins, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Benjamin Miceli, PA-C is a certified Physician Assistant practicing in Fort Collins, CO. With approximately 13 years of clinical experience since completing medical education in 2013, Benjamin Miceli delivers high-quality medical care to the local community at 1107 S LEMAY AVE.

Benjamin Miceli maintains professional affiliations with Poudre Valley Medical Group Llc, Advanced Neurology Of Colorado Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, established patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1107 S Lemay Ave
Suite 240

Fort Collins, CO 805243960

Telephone 9704957421

Fax 9704957424

Associated Practice Facility / Clinic

🏢 Fort Collins Women's Clinic, Pc Facility NPI 1275591281

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Collins, CO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +1.2 yrs vs City Avg

City Avg: 11.8 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

188 Specialists

Practicing in Fort Collins, CO (3810 Statewide)

Telehealth Adoption Rate

18.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miceli (13 Years) 13 Yrs

Fort Collins Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	9,100	17	$11.93	$6.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	94	$333.52	$152.07
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	75	41	$72.28	$27.44
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	42	17	$380.64	$130.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$408.89	$188.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$248.67	$109.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	9,690	17	$12.00	$6.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	146	105	$329.00	$154.11
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	51	27	$66.49	$27.71
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	43	14	$333.00	$133.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$244.00	$107.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$426.00	$190.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	9,000	16	$12.00	$6.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	197	122	$329.00	$154.12
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	81	40	$65.00	$28.28
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	37	12	$333.00	$133.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$244.00	$111.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$426.00	$184.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	13,355	23	$12.00	$6.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	182	114	$311.69	$158.56
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	54	18	$333.00	$133.93
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	49	28	$65.00	$28.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	36	$233.48	$111.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$426.00	$193.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	9,685	22	$12.00	$6.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	172	119	$294.70	$124.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	46	$218.46	$93.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$418.31	$180.51
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	38	17	$333.00	$130.70
99443 Telephone medical discussion with physician, 21-30 minutes	15	13	$288.47	$88.85
99354 Prolonged office or other outpatient service first hour	11	11	$258.00	$112.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	107	76	$288.88	$123.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	36	$215.40	$93.17
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$410.00	$177.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$326.00	$141.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	47	$212.00	$91.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$287.00	$124.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	4,200	13	$11.73	$5.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	58	$215.45	$90.86
99213 Established patient office or other outpatient visit, typically 15 minutes	55	40	$146.95	$62.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	38	$287.38	$123.77
64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face	26	16	$297.19	$124.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$329.33	$140.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$410.14	$176.92

Medical Specialties & State Licenses

CMS Verified: 2024-09-18

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 0003875

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

14330318 (CO)

Hospital & Practice Group Affiliations

Advanced Neurology Of Colorado Llc

1551 Professional Ln, Longmont, CO 805016971

Phone: 9708050950

Poudre Valley Medical Group Llc

1925 Mountain View Ave, Longmont, CO 805013128

Phone: 3037761234

Poudre Valley Medical Group Llc

4404 Barranca Ln, Castle Rock, CO 801047419

Phone: 7207335260

Poudre Valley Medical Group Llc

11083 Colorado Blvd, Firestone, CO 805045873

Phone: 3038338880

Advanced Neurology Of Colorado Llc

2121 E Harmony Rd, Fort Collins, CO 805283401

Phone: 9702266111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Dr. Hans Coester , MD

Neurological Surgery

NPI 1043256613

Doctor of Medicine (M.D.)

Dr. Matthew Piazza , MD

Neurological Surgery

NPI 1043573959

Doctor of Medicine (M.D.)

Evan Fischer

Physician Assistant

NPI 1053177956

Luis Chavez , PA-C

Physician Assistant

NPI 1083304083

Physician Assistant (Certified)

Kai Stobbe , PA-C

Physician Assistant - Surgical

NPI 1093753352

Physician Assistant (Certified)

Zachary Hitchcock , PA

Physician Assistant - Medical

NPI 1154863249

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2014

Registered at 1107 S LEMAY AVE, SUITE 240, FORT COLLINS, CO 805243960 (Tel: 9704957421)

📍

Updated Business Mailing Address May 13, 2014

Registered at 1107 S LEMAY AVE, SUITE 240, FORT COLLINS, CO 805243960 (Tel: 9704957421)

👤

Provider Name / Credentials Updated May 13, 2014

Recorded as BENJAMIN MICELI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2014

Physician Assistant (License #0003875 in CO)

🟢

Initial NPI Registration & Enumeration January 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043633324

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 22, 2014

Last Update: September 18, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1107 S Lemay Ave, Suite 240

Fort Collins, CO 805243960

Phone: 9704957421

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.