Active NPI 1063423523 Individual Practitioner Male Practitioner

Dr. Robert L. Benak , MD

Internal Medicine • Plattsburgh, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Benak, MD is a certified Internal Medicine practicing in Plattsburgh, NY. With approximately 37 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1989, Dr. Benak delivers high-quality medical care to the local community at 75 BEEKMAN ST.

Dr. Benak is affiliated with Champlain Valley Physicians Hospital Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

75 Beekman St

Plattsburgh, NY 129011438

Telephone 5185612000

Associated Practice Facility / Clinic

🏢 Champlain Valley Medical Anesthesia Services, Pc Facility NPI 1366496507

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plattsburgh, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +15.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

38 Specialists

Practicing in Plattsburgh, NY (12979 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benak (37 Years) 37 Yrs

Plattsburgh Specialty Average (21.2 Years) 21.2 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	352	159	$242.74	$115.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	289	115	$168.66	$76.95
99239 Hospital discharge day management, more than 30 minutes	110	108	$248.45	$111.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	37	$91.07	$48.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$473.79	$167.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	393	168	$230.33	$116.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	334	136	$161.40	$77.34
99497 Advance care planning, first 30 minutes	199	199	$140.00	$79.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes	198	198	$35.00	$17.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$225.00	$123.00
G0444 Annual depression screening, 5 to 15 minutes	194	194	$25.00	$17.51
99239 Hospital discharge day management, more than 30 minutes	121	116	$236.38	$111.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	43	$87.14	$48.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$441.83	$169.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	546	205	$141.94	$69.89
99497 Advance care planning, first 30 minutes	479	479	$140.00	$83.46
G0442 Annual alcohol misuse screening, 5 to 15 minutes	473	473	$35.00	$18.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	457	457	$225.00	$128.75
G0444 Annual depression screening, 5 to 15 minutes	453	453	$25.00	$18.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	437	223	$206.19	$100.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	197	72	$75.61	$37.89
99239 Hospital discharge day management, more than 30 minutes	144	136	$207.48	$103.00
99213 Established patient office or other outpatient visit, typically 15 minutes	131	73	$130.00	$88.32
99238 Hospital discharge day management, 30 minutes or less	16	16	$140.50	$70.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$404.67	$194.34
99217 Hospital observation care on day of discharge	15	15	$143.40	$70.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$270.00	$165.47
83036 Hemoglobin A1C level	13	12	$15.00	$9.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$190.00	$126.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	403	122	$145.00	$70.71
99497 Advance care planning, first 30 minutes	238	238	$140.00	$84.50
G0442 Annual alcohol misuse screening, 5 to 15 minutes	234	234	$35.00	$18.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	223	223	$225.00	$131.10
G0444 Annual depression screening, 5 to 15 minutes	222	222	$25.00	$18.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	196	82	$209.00	$101.64
99213 Established patient office or other outpatient visit, typically 15 minutes	166	125	$130.00	$90.09
99239 Hospital discharge day management, more than 30 minutes	68	64	$215.00	$104.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	34	$190.00	$128.34
83036 Hemoglobin A1C level	21	20	$15.00	$9.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$82.00	$37.79
99238 Hospital discharge day management, 30 minutes or less	17	17	$145.00	$70.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$405.00	$197.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$95.00	$55.50
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$270.00	$166.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	648	230	$145.00	$72.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	192	116	$209.00	$104.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	157	76	$82.00	$39.07
99239 Hospital discharge day management, more than 30 minutes	102	98	$215.00	$106.60
99238 Hospital discharge day management, 30 minutes or less	64	61	$145.00	$72.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	60	$405.00	$201.95
99217 Hospital observation care on day of discharge	15	15	$146.00	$72.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	790	270	$139.71	$70.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	229	99	$78.93	$38.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	163	119	$201.02	$101.33
99239 Hospital discharge day management, more than 30 minutes	128	121	$207.42	$104.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	86	$388.62	$196.95
99238 Hospital discharge day management, 30 minutes or less	85	82	$139.65	$71.11
99217 Hospital observation care on day of discharge	21	21	$139.67	$71.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$280.77	$133.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	677	265	$179.43	$70.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	244	101	$99.29	$37.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	163	116	$257.39	$100.56
99239 Hospital discharge day management, more than 30 minutes	142	138	$266.97	$103.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	84	$515.88	$196.40
99238 Hospital discharge day management, 30 minutes or less	63	60	$183.72	$70.84
99217 Hospital observation care on day of discharge	11	11	$142.64	$70.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	873	308	$186.69	$70.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	247	161	$268.47	$101.12
99239 Hospital discharge day management, more than 30 minutes	207	196	$275.96	$104.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	184	90	$101.30	$37.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	166	160	$522.44	$193.88
99238 Hospital discharge day management, 30 minutes or less	52	50	$186.82	$70.22
99217 Hospital observation care on day of discharge	19	19	$143.00	$67.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$159.20	$131.81

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 196791

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Champlain Valley Physicians Hospital Medical Center

75 Beekman St, Plattsburgh, NY 129011438

Phone: 5185612000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Ana Morales Mejia , MD

Internal Medicine

NPI 1003421496

Doctor of Medicine (M.D.)

Ann Watts , RD, CDN, CDE

Nutritionist - Nutrition, Education

NPI 1003982562

Registered Dietitian, CDN, Certified Diabetes Educator

Leo Lawrence , PA

Physician Assistant

NPI 1013084755

Physician Assistant

Dr. Narod Vassilian , MD

Hospitalist

NPI 1013539584

Doctor of Medicine (M.D.)

Mariah Simons , PA

Physician Assistant

NPI 1013766625

Physician Assistant

Dr. Hans Klaudt , MD

Emergency Medicine

NPI 1033285416

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 July 10, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2007

Registered at 75 BEEKMAN ST, PLATTSBURGH, NY 129011438 (Tel: 5185612000)

📍

Updated Business Mailing Address July 10, 2007

Registered at 307 S EVERGREEN AVE, WOODBURY, NJ 080962739 (Tel: 8566864300)

👤

Provider Name / Credentials Updated July 10, 2007

Recorded as ROBERT BENAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2007

Internal Medicine (License #196791 in NY)

🟢

Initial NPI Registration & Enumeration August 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063423523

Entity Type:

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

Enumeration Date: August 10, 2006

Last Update: July 10, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

307 S Evergreen Ave

Woodbury, NJ 080962739

Phone: 8566864300

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.