Active NPI 1205844677 Individual Practitioner Male Practitioner

Dr. Aziz Benbrahim , MD

Surgery • Meriden, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Aziz Benbrahim, MD is a certified Surgery practicing in Meriden, CT. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Benbrahim delivers high-quality medical care to the local community at 455 LEWIS AVE.

Dr. Benbrahim is affiliated with Hartford Healthcare Medical Group Specialists Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

455 Lewis Ave

Meriden, CT 064512121

Telephone 2032382691

Fax 2032353128

Associated Practice Facility / Clinic

🏢 Surgical Assoc Of Meriden Pc Facility NPI 1770560245

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Meriden, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +9.0 yrs vs City Avg

City Avg: 29.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Meriden, CT (388 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benbrahim (38 Years) 38 Yrs

Meriden Specialty Average (29.0 Years) 29.0 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
11042 Removal of skin and tissue, 20.0 sq cm or less	67	23	$306.79	$65.40
99213 Established patient office or other outpatient visit, typically 15 minutes	33	28	$185.00	$81.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$385.63	$166.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$302.59	$129.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	102	32	$290.10	$63.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$368.33	$163.66
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$181.96	$79.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$243.33	$108.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$282.69	$125.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$425.00	$190.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	101	20	$270.45	$64.32
99213 Established patient office or other outpatient visit, typically 15 minutes	30	19	$180.67	$82.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$410.83	$170.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$295.79	$134.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	91	32	$250.00	$64.58
99213 Established patient office or other outpatient visit, typically 15 minutes	66	46	$168.64	$82.07
97597 Removal of tissue from wound, 20.0 sq cm or less	33	19	$105.00	$38.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	24	$298.28	$136.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	22	$115.00	$40.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$575.00	$205.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$435.22	$169.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	15	$205.00	$76.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$297.14	$117.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	82	20	$238.00	$67.87
99213 Established patient office or other outpatient visit, typically 15 minutes	75	48	$173.41	$71.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	25	$194.00	$76.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$275.12	$112.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	18	$105.00	$39.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$400.33	$160.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$544.00	$212.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$281.80	$105.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$90.86	$37.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$368.00	$149.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	106	26	$240.04	$67.99
99213 Established patient office or other outpatient visit, typically 15 minutes	88	57	$167.19	$67.76
97597 Removal of tissue from wound, 20.0 sq cm or less	52	21	$97.96	$26.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	37	$281.07	$113.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$425.22	$168.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	24	$194.00	$77.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	21	$105.00	$42.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$278.08	$110.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$368.00	$146.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$544.00	$215.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	141	30	$268.64	$73.16
99213 Established patient office or other outpatient visit, typically 15 minutes	63	49	$179.57	$71.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	48	$279.49	$110.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$422.50	$166.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	28	$105.00	$41.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$71.83	$28.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$280.33	$110.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$194.00	$77.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$368.00	$145.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	76	$177.99	$75.74
97597 Removal of tissue from wound, 20.0 sq cm or less	84	36	$91.42	$27.60
11042 Removal of skin and tissue, 20.0 sq cm or less	74	27	$238.00	$67.86
99183 Management and supervision of oxygen chamber therapy per session	63	15	$360.00	$117.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	35	$105.00	$40.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	34	$78.00	$30.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$428.77	$172.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$253.59	$98.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$277.86	$113.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$368.00	$145.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$194.00	$76.26
47562 Removal of gallbladder using an endoscope	12	12	$2573.00	$717.36
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$273.00	$99.99

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 038487

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001374875 (CT)

Hospital & Practice Group Affiliations

Hartford Healthcare Medical Group Specialists Pllc

455 Lewis Ave, Meriden, CT 064512121

Phone: 2032382691

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Louis Meyer , MD

Surgery

NPI 1073521423

Doctor of Medicine (M.D.)

Jennie Gore , APRN

Nurse Practitioner

NPI 1215757331

Advanced Practice Registered Nurse

Dr. Elizabeth Riordan , MD

Surgery

NPI 1528078995

Doctor of Medicine (M.D.)

Dr. Nicholas Verdura , MD

Surgery

NPI 1760645618

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2008

Registered at 455 LEWIS AVE, MERIDEN, CT 064512121 (Tel: 2032382691)

📍

Updated Business Mailing Address June 05, 2008

Registered at PO BOX 1065, WILBRAHAM, MA 010951065 (Tel: 5085950531)

👤

Provider Name / Credentials Updated June 05, 2008

Recorded as AZIZ BENBRAHIM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2008

Surgery (License #038487 in CT)

🟢

Initial NPI Registration & Enumeration August 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1205844677

Entity Type:

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

Enumeration Date: August 03, 2006

Last Update: June 05, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1065

Wilbraham, MA 010951065

Phone: 5085950531

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.