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Active NPI 1104245562 Individual Practitioner Male Practitioner

Dr. Benjamin Vidalis , MD

Neurological Surgery • Santa Fe, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Vidalis, MD is a certified Neurological Surgery practicing in Santa Fe, NM. With approximately 12 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2014, Dr. Vidalis delivers high-quality medical care to the local community at 465 SAINT MICHAELS DR STE 107.

Dr. Vidalis is affiliated with St Vincent Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

465 Saint Michaels Dr Ste 107

Santa Fe, NM 875057690

Telephone 5059883233
Fax 5059883562
Associated Practice Facility / Clinic
🏢 St. Vincent Hospital Facility NPI 1548387723

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Santa Fe, NM

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -9.7 yrs vs City Avg
City Avg: 21.7 Yrs
State Avg: 27.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Santa Fe, NM (40 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vidalis (12 Years) 12 Yrs
Santa Fe Specialty Average (21.7 Years) 21.7 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
87 87 $563.00 $162.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
67 55 $364.00 $123.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
43 39 $488.00 $176.12
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
33 25 $977.00 $260.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
21 21 $703.00 $214.89
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc
15 15 $5260.00 $1591.42
22842 Placement of stabilizing device to back, 3-6 spine bone segments
12 12 $2639.00 $773.69

Medical Specialties & State Licenses

CMS Verified: 2021-09-21
Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License NM MD2021-0303

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

St Vincent Hospital

465 Saint Michaels Dr, Santa Fe, NM 875057690

Phone: 5059883233

Secondary Practice Locations

Msc 10 5615, University Of New Mexico

Albuquerque, NM 871310001

Phone: 5052723160

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Robert Feldman , MD

Neurological Surgery

NPI 1063586626

Doctor of Medicine (M.D.)

Dr. Philip Shields , MD

Neurological Surgery

NPI 1164516555

Doctor of Medicine (M.D.)

Dr. Philip Smucker , MD

Neurological Surgery

NPI 1255508461

Doctor of Medicine (M.D.)

Dr. Hal Hankinson , MD

Neurological Surgery

NPI 1316960420

Doctor of Medicine (M.D.)

Susan Earls , PA-C

Physician Assistant - Surgical

NPI 1477613891

Physician Assistant (Certified)

Dr. Marshall Watson , MD

Neurological Surgery

NPI 1568461374

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 21, 2021

Registered at 465 SAINT MICHAELS DR STE 107, SANTA FE, NM 875057690 (Tel: 5059883233)

NPI Profile Active May 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2014

Registered at MSC 10 5615, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052723160)

📍
Updated Business Mailing Address May 23, 2014

Registered at MSC 10 5615, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5052723160)

👤
Provider Name / Credentials Updated May 23, 2014

Recorded as BENJAMIN VIDALIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 14, 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: 1104245562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2014
Last Update: September 21, 2021
Sole Proprietor: No

Mailing Address

Msc 10 5615, University Of New Mexico

Albuquerque, NM 871310001

Phone: 5052723160

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.