Active NPI 1326074568 Individual Practitioner Female Practitioner

Dr. Nadereh Behnam , MD

Specialist • Wayne, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Nadereh Behnam, MD is a certified Specialist practicing in Wayne, NJ. With approximately 30 years of clinical experience since graduating from Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc) in 1996, Dr. Behnam delivers high-quality medical care to the local community at 502 HAMBURG TPKE STE 103.

Dr. Behnam does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, pelvic exam, 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

502 Hamburg Tpke Ste 103

Wayne, NJ 074708446

Telephone 9737907090

Fax 9737906807

Associated Practice Facility / Clinic

🏢 Nadereh Behnam,m.d. Llc. Facility NPI 1316953730

Medicare Profile & Education

Medical School

Rutgers R W Johnson Medical School (Cam/new Bruns/pisc)

Graduation Year

1996

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wayne, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs -6.0 yrs vs City Avg

City Avg: 36.0 Yrs

State Avg: 35.6 Yrs

Regional Practice Density

29 Specialists

Practicing in Wayne, NJ (1802 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Behnam (30 Years) 30 Yrs

Wayne Specialty Average (36.0 Years) 36.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	158	$175.00	$133.25
99459 Pelvic exam	156	145	$49.49	$24.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$275.00	$115.98
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$150.00	$94.54

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	127	125	$175.79	$133.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$275.00	$117.80
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$151.79	$94.84

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	145	138	$175.00	$136.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$275.00	$119.00
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$150.00	$96.82

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	122	119	$175.00	$138.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$275.00	$120.42
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$150.00	$98.07

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	128	122	$175.00	$116.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$275.00	$115.10

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	178	167	$175.00	$114.01
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	49	49	$50.00	$46.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$275.00	$113.58
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$150.00	$77.98

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	189	184	$175.13	$113.07
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	78	78	$50.00	$47.77
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$150.00	$76.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$275.00	$113.81

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	208	199	$175.00	$109.27
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	51	51	$50.00	$46.72
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$150.00	$74.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$270.65	$110.29

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 70632

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 19, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2007

Registered at 502 HAMBURG TPKE STE 103, WAYNE, NJ 074708446 (Tel: 9737907090)

📍

Updated Business Mailing Address September 19, 2007

Registered at 502 HAMBURG TPKE STE 103, WAYNE, NJ 074708446 (Tel: 9737907090)

👤

Provider Name / Credentials Updated September 19, 2007

Recorded as NADEREH BEHNAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2007

Specialist (License #70632 in NJ)

🟢

Initial NPI Registration & Enumeration June 22, 2006

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: 1326074568

Entity Type:

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

Enumeration Date: June 22, 2006

Last Update: September 19, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

502 Hamburg Tpke Ste 103

Wayne, NJ 074708446

Phone: 9737907090

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.