Active NPI 1780708909 Individual Practitioner Male Practitioner

Dr. Benjamin Joseph Cousins , MD

Plastic Surgery • Miami Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Cousins, MD is a certified Plastic Surgery practicing in Miami Beach, FL. With approximately 21 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 2005, Dr. Cousins delivers high-quality medical care to the local community at 4308 ALTON RD STE 720.

Dr. Cousins is affiliated with Halifax Healthcare Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, 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

4308 Alton Rd Ste 720

Miami Beach, FL 331404557

Telephone 7866373332

Fax 8665671980

Associated Practice Facility / Clinic

🏢 Benjamin J Cousins, M.d. P.a. Facility NPI 1043650872

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Miami Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -8.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 29.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Miami Beach, FL (537 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cousins (21 Years) 21 Yrs

Miami Beach Specialty Average (29.5 Years) 29.5 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$2233.00	$180.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$2233.00	$184.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$475.00	$60.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	12	$475.00	$61.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$2233.00	$211.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$1190.00	$123.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$1190.00	$117.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	17	$2233.00	$220.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$475.00	$49.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$1190.00	$116.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	18	$2233.00	$217.73
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$789.00	$74.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$1190.00	$107.13
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$789.00	$73.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$2233.00	$205.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$2233.00	$201.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$1158.00	$106.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$1804.00	$164.96
99284 Emergency department visit with moderate level of medical decision making	11	11	$1323.00	$121.50

Medical Specialties & State Licenses

CMS Verified: 2019-12-10

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License FL ME115543

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Orthopaedic Surgery - Hand Surgery

NUCC Taxonomy Code: 207XS0106X

State License FL ME 115543

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110155502A (MA)

Medicaid State Provider ID

019360500 (FL)

Commercial Insurance / Payer ID Medical License

ME115543 (FL)

Commercial Insurance / Payer ID Medical License

269487 (MA)

Hospital & Practice Group Affiliations

Halifax Healthcare Systems Inc

303 N Clyde Morris Blvd, Daytona Bch, FL 321142709

Phone: 3862544000

Secondary Practice Locations

601 N Flamingo Rd Ste 101

Pembroke Pines, FL 330281007

Phone: 7866373332

25 Walnut St Ste 400

Wellesley, MA 024812150

Phone: 7817052789

Practice Associates & Co-Workers

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

1 Associated Practitioners

Roxanne Tevel

Plastic Surgery

NPI 1316519309

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location December 10, 2019

Registered at 4308 ALTON RD STE 720, MIAMI BEACH, FL 331404557 (Tel: 7866373332)

📍

Updated Business Mailing Address December 10, 2019

Registered at 4308 ALTON RD STE 720, MIAMI BEACH, FL 331404557 (Tel: 7866373332)

✅

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2017

Registered at 601 N FLAMINGO RD STE 101, PEMBROKE PINES, FL 330281007 (Tel: (786) 637-3332)

📍

Updated Business Mailing Address July 10, 2017

Registered at 601 N FLAMINGO RD STE 101, PEMBROKE PINES, FL 330281007 (Tel: (786) 637-3332)

👤

Provider Name / Credentials Updated July 10, 2017

Recorded as BENJAMIN COUSINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Orthopaedic Surgery (License #ME 115543 in FL)

✅

NPI Profile Active August 16, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 16, 2013

Registered at 4308 ALTON RD # 940, MIAMI BEACH, FL 331404556 (Tel: 3056043216)

📍

Updated Business Mailing Address August 16, 2013

Registered at 4308 ALTON RD # 940, MIAMI BEACH, FL 331404556 (Tel: 3056043216)

👤

Provider Name / Credentials Updated August 16, 2013

Recorded as BENJAMIN COUSINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2013

Orthopaedic Surgery (License #ME 115543 in FL)

🟢

Initial NPI Registration & Enumeration March 16, 2007

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: 1780708909

Entity Type:

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

Enumeration Date: March 16, 2007

Last Update: July 21, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4308 Alton Rd Ste 720

Miami Beach, FL 331404557

Phone: 7866373332

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.