Active NPI 1023375011 Individual Practitioner Male Practitioner

Dr. Benjamin Jon Nelson , MD

Urology • Newark, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Nelson, MD is a certified Urology practicing in Newark, NY. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Nelson delivers high-quality medical care to the local community at 1202 DRIVING PARK AVE.

Dr. Nelson is affiliated with Western New York Medical Practice Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1202 Driving Park Ave

Newark, NY 14513

Telephone 3153592690

Associated Practice Facility / Clinic

🏢 Rochester General Hospital Facility NPI 1225280910

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Newark, NY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -5.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 30.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Newark, NY (1156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (14 Years) 14 Yrs

Newark Specialty Average (19.5 Years) 19.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	263	212	$116.57	$89.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	183	151	$172.00	$127.02
51798 Ultrasound measurement of bladder capacity after voiding	141	114	$29.86	$10.81
52000 Diagnostic exam of bladder and urethra using an endoscope	50	40	$327.58	$233.87
81000 Manual urinalysis test with examination using microscope, non-automated	43	28	$4.92	$3.86
51702 Simple insertion of temporary bladder tube	42	20	$111.82	$61.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$176.14	$110.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$269.53	$165.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	308	234	$116.57	$87.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	168	$172.00	$123.75
51798 Ultrasound measurement of bladder capacity after voiding	151	118	$29.86	$10.27
52000 Diagnostic exam of bladder and urethra using an endoscope	55	44	$327.58	$234.27
51702 Simple insertion of temporary bladder tube	46	19	$111.82	$59.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$176.14	$109.06
81000 Manual urinalysis test with examination using microscope, non-automated	42	33	$4.92	$3.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$269.53	$162.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	418	256	$116.57	$89.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	149	$172.00	$124.62
51798 Ultrasound measurement of bladder capacity after voiding	138	107	$29.86	$10.20
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	97	13	$251.34	$150.28
81000 Manual urinalysis test with examination using microscope, non-automated	76	61	$4.92	$3.98
51702 Simple insertion of temporary bladder tube	70	24	$111.82	$61.69
52000 Diagnostic exam of bladder and urethra using an endoscope	52	43	$327.58	$239.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$176.14	$110.55
51705 Removal of skin suture with change of bladder tube	35	14	$145.54	$96.36
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	23	13	$63.34	$31.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$269.53	$164.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	156	$118.77	$84.73
51798 Ultrasound measurement of bladder capacity after voiding	63	52	$29.86	$10.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	38	$172.00	$109.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$174.92	$103.07
81000 Manual urinalysis test with examination using microscope, non-automated	38	35	$4.92	$4.02
52000 Diagnostic exam of bladder and urethra using an endoscope	32	27	$327.58	$166.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$266.54	$149.98
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$774.90	$132.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	173	118	$116.57	$63.11
51798 Ultrasound measurement of bladder capacity after voiding	48	36	$29.86	$9.82
52000 Diagnostic exam of bladder and urethra using an endoscope	34	25	$327.58	$154.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$173.07	$89.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$69.07	$27.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$172.00	$94.67
81000 Manual urinalysis test with examination using microscope, non-automated	17	15	$4.92	$3.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$266.73	$152.86
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$684.10	$372.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	115	$120.82	$63.41
81000 Manual urinalysis test with examination using microscope, non-automated	47	36	$8.13	$3.86
51798 Ultrasound measurement of bladder capacity after voiding	33	29	$29.89	$12.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$165.25	$90.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$285.06	$156.68
52000 Diagnostic exam of bladder and urethra using an endoscope	27	22	$321.36	$132.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$174.88	$90.00
52356 Crushing of stone of ureter with insertion of stent using an endoscope	17	13	$749.29	$379.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$120.90	$56.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$204.33	$97.39
52000 Diagnostic exam of bladder and urethra using an endoscope	17	17	$312.42	$105.97

Medical Specialties & State Licenses

CMS Verified: 2022-12-16

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NY 280945

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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

Western New York Medical Practice Pc

200 N St, Geneva, NY 144561561

Phone: 3157875100

Western New York Medical Practice Pc

200 N St, Geneva, NY 144561561

Phone: 5853988253

Western New York Medical Practice Pc

2615 Culver Rd, Rochester, NY 146091716

Phone: 5853365320

Western New York Medical Practice Pc

1425 Portland Ave, Rochester, NY 146213001

Phone: 5859223122

Western New York Medical Practice Pc

2420 Ridgeway Ave, Rochester, NY 146264114

Phone: 5852274000

Secondary Practice Locations

601 Elmwood Ave, Box Surg

Rochester, NY 146420001

Phone: 5852752723

6532 Anthony Dr

Victor, NY 145641403

Phone: 5853988253

200 North St

Geneva, NY 144561561

Phone: 3157875272

220 Linden Oaks Ste 100

Rochester, NY 146252839

Phone: 5852482019

Practice Associates & Co-Workers

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

3 Associated Practitioners

Carolyn Rhodes , PA

Physician Assistant - Surgical

NPI 1194230490

Physician Assistant

Calley Lynch

Physician Assistant

NPI 1215418694

John Delisio , PA

Physician Assistant - Surgical

NPI 1720180540

Physician Assistant

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2022

Student in an Organized Health Care Education/Training Program

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2019

Urology (License #280945 in NY)

📍

Updated Practice Location July 23, 2018

Registered at 1202 DRIVING PARK AVE, NEWARK, NY 14513 (Tel: 3153592690)

📍

Updated Business Mailing Address July 23, 2018

Registered at 100 KINGS HWY S, ROCHESTER, NY 146175504 (Tel: 5859221304)

✅

NPI Profile Active April 16, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2012

Registered at 601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 146420001 (Tel: 5852752723)

📍

Updated Business Mailing Address April 16, 2012

Registered at 420 WESTFALL RD, #30, ROCHESTER, NY 146204649 (Tel: 6059407216)

👤

Provider Name / Credentials Updated April 16, 2012

Recorded as BENJAMIN NELSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 16, 2012

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: 1023375011

Entity Type:

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

Enumeration Date: April 16, 2012

Last Update: December 16, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Kings Hwy S

Rochester, NY 146175504

Phone: 5859221304

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.