Active NPI 1639431380 Individual Practitioner Female Practitioner

Dr. Emily Christine Benham , MD

Surgery • Lafayette, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Emily Benham, MD is a certified Surgery practicing in Lafayette, CO. With approximately 14 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2012, Dr. Benham delivers high-quality medical care to the local community at 280 EXEMPLA CIR.

Dr. Benham is affiliated with Colorado Permanente Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

280 Exempla Cir

Lafayette, CO 800263370

Telephone 3033384545

Associated Practice Facility / Clinic

🏢 Kaiser Foundation Health Plan Of Colorado Facility NPI 1376657551

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lafayette, CO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -6.1 yrs vs City Avg

City Avg: 20.1 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

22 Specialists

Practicing in Lafayette, CO (635 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benham (14 Years) 14 Yrs

Lafayette Specialty Average (20.1 Years) 20.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	20	$131.00	$47.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$241.00	$75.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$458.13	$123.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	60	$236.00	$68.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	32	$132.70	$37.26
99221 Initial hospital inpatient care per day, typically 30 minutes	23	21	$328.35	$96.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$448.18	$130.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$110.00	$83.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$64.00	$51.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$226.00	$130.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$242.64	$129.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	42	$110.00	$69.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	15	$60.00	$38.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$162.00	$96.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$250.00	$158.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$64.00	$43.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$212.00	$134.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$313.67	$138.02
43644 Bypass operation of stomach using an endoscope	11	11	$2734.82	$1342.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$110.00	$69.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$250.00	$156.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$212.00	$132.74
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$37.00	$15.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$64.00	$40.95
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$156.00	$98.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$162.00	$102.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$483.08	$137.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$187.41	$98.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$232.82	$133.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$73.13	$38.30

Medical Specialties & State Licenses

CMS Verified: 2024-02-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO DR.0072262

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NC 2021-02556

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Kaiser Commercial Number

029516 (CO)

Hospital & Practice Group Affiliations

Colorado Permanente Medical Group Pc

280 Exempla Circle, Lafayette, CO 800263370

Phone: 3033384545

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Robert Burman , MD, PhD

Radiology - Diagnostic Radiology

NPI 1003013830

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Katrina Wagoner-Hursh , MD

Internal Medicine

NPI 1003029299

Doctor of Medicine (M.D.)

Dr. Martin Rausch , MD

Hospitalist

NPI 1003038902

Doctor of Medicine (M.D.)

Cassandra Buzard , RN

Registered Nurse

NPI 1003054461

Registered Nurse

Erik Petersen , LPC

Counselor - Professional

NPI 1003060302

Licensed Professional Counselor

Lauren Hillary , PA-C

Physician Assistant

NPI 1003075821

Physician Assistant (Certified)

Career & Practice History Timeline

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

21 Historical Events

📍

Updated Practice Location February 16, 2024

Registered at 280 EXEMPLA CIR, LAFAYETTE, CO 800263370 (Tel: 3033384545)

📍

Updated Business Mailing Address February 16, 2024

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2024

Surgery (License #DR.0072262 in CO)

📍

Updated Practice Location December 10, 2021

Registered at 1350 S KINGS DR, CHARLOTTE, NC 282072134 (Tel: 7044461255)

📍

Updated Business Mailing Address December 10, 2021

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

👤

Provider Name / Credentials Updated December 10, 2021

Recorded as EMILY BENHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2021

Surgery (License #2021-02556 in NC)

📍

Updated Practice Location October 15, 2020

Registered at 500 E ROBINSON ST STE 2300, NORMAN, OK 730716671 (Tel: 4053294102)

📍

Updated Business Mailing Address October 15, 2020

Registered at 500 E ROBINSON ST STE 2300, NORMAN, OK 730716671 (Tel: 4053294102)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2020

Surgery (License #30920 in OK)

✅

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2017

Registered at 1800 ZOLLINGER RD FL 3, COLUMBUS, OH 432212800 (Tel: 6142933230)

📍

Updated Business Mailing Address June 28, 2017

Registered at 700 ACKERMAN RD STE 570, COLUMBUS, OH 432021579 (Tel: (614) 293-3230)

👤

Provider Name / Credentials Updated June 28, 2017

Recorded as EMILY BENHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Surgery (License #35130619 in OH)

✅

NPI Profile Active June 08, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2012

Registered at 1000 BLYTHE BLVD, MEB 6TH FLOOR, SUITE 601, CHARLOTTE, NC 282035812 (Tel: 7043553641)

📍

Updated Business Mailing Address June 08, 2012

Registered at 1000 BLYTHE BLVD, MEB 6TH FLOOR, SUITE 601, CHARLOTTE, NC 282035812 (Tel: 7043553641)

👤

Provider Name / Credentials Updated June 08, 2012

Recorded as EMILY BENHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2012

Surgery (License #182331 in NC)

🟢

Initial NPI Registration & Enumeration June 08, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Emily Benham. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1639431380

Entity Type:

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

Enumeration Date: June 08, 2012

Last Update: February 16, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10350 E Dakota Ave

Denver, CO 802471314

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.