Active NPI 1497850515 Individual Practitioner Male Practitioner

Dr. Benjamin S Scharfstein , MD

Surgery • Bristol, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Scharfstein, MD is a certified Surgery practicing in Bristol, TN. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Scharfstein delivers high-quality medical care to the local community at 1 MEDICAL PARK BLVD STE 250W.

Dr. Scharfstein maintains professional affiliations with Wellmont Medical Associates Inc, Wps Providers Inc and accepts Medicare assignment.

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

1 Medical Park Blvd Ste 250w

Bristol, TN 376207431

Telephone 4238446620

Fax 4238446626

Associated Practice Facility / Clinic

🏢 Bristol Surgical Associates Pc Facility NPI 1811066947

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bristol, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +3.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Bristol, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Scharfstein (28 Years) 28 Yrs

Bristol Specialty Average (24.3 Years) 24.3 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	109	90	$146.05	$85.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$206.66	$104.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	36	$104.79	$47.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$315.19	$158.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	25	25	$95.08	$16.89
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$1374.38	$299.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$292.87	$164.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$304.79	$119.88
47562 Removal of gallbladder using an endoscope	14	14	$2240.86	$587.71
49650 Repair of groin hernia using an endoscope	11	11	$1934.73	$415.84
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$791.09	$176.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	85	$98.00	$84.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$141.00	$104.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	35	$83.00	$47.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$178.00	$157.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$288.00	$162.49
47562 Removal of gallbladder using an endoscope	19	19	$3262.00	$605.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$199.00	$123.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1899.00	$293.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$138.00	$120.14
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$145.00	$16.95
G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment	11	11	$2062.00	$2066.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	128	$98.00	$83.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$178.00	$158.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	59	$119.00	$67.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	60	$288.00	$188.21
G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment	36	35	$2062.00	$2072.31
47562 Removal of gallbladder using an endoscope	17	17	$3262.00	$615.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	143	$98.00	$83.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$178.00	$156.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	77	44	$83.00	$36.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	66	$288.00	$182.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	39	$119.00	$63.90
G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment	34	32	$2062.00	$2057.35
47562 Removal of gallbladder using an endoscope	18	18	$3262.00	$612.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	158	74	$83.00	$38.27
99213 Established patient office or other outpatient visit, typically 15 minutes	148	117	$98.00	$68.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	74	$288.00	$196.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$178.00	$154.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$141.00	$97.86
G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment	42	38	$2062.00	$2080.12
99213 Established patient office or other outpatient visit, typically 15 minutes	20	12	$98.00	$49.50
47562 Removal of gallbladder using an endoscope	17	17	$3262.00	$593.88
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$145.00	$17.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1899.00	$283.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$138.00	$104.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	155	$98.00	$69.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	138	77	$83.00	$37.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$141.00	$100.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	72	$288.00	$189.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$178.00	$153.48
G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment	52	44	$2062.00	$2036.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$138.00	$102.49
47562 Removal of gallbladder using an endoscope	25	25	$3262.00	$599.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1899.00	$322.97
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$145.00	$18.09
49650 Repair of groin hernia using an endoscope	12	12	$2417.50	$391.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	178	142	$98.00	$66.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	169	85	$83.00	$37.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$178.00	$151.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	78	$288.00	$190.99
G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment	35	34	$2062.00	$1701.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$138.00	$96.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$75.00	$40.14
47562 Removal of gallbladder using an endoscope	21	21	$3262.00	$590.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$141.00	$100.42
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$145.00	$17.83
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$1899.00	$320.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	145	$98.00	$67.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	131	68	$83.00	$36.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$141.00	$97.62
G0339 Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment	58	55	$2062.00	$1398.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	57	$288.00	$192.12
47562 Removal of gallbladder using an endoscope	20	20	$3262.00	$539.66
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	17	$1899.00	$311.50
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$145.00	$18.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$178.00	$144.64
49568 Placement of mesh to repair incisional or abdominal hernia	13	12	$824.00	$248.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$138.00	$100.54

Medical Specialties & State Licenses

CMS Verified: 2024-12-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 34037

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101275702

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7314019 (VA)

Medicaid State Provider ID

3882258 (TN)

Commercial Insurance / Payer ID Indiv Anthem/group#093410

266804 (TN)

Commercial Insurance / Payer ID Mcrailroad/group#ca8128

P00007322 (TN)

Commercial Insurance / Payer ID John Deere Now United Hc

TN0107 (TN)

Commercial Insurance / Payer ID Black Lung Group

022276800 (TN)

Commercial Insurance / Payer ID Umwa Group

0636398 (TN)

Commercial Insurance / Payer ID Bcbs Of Tennessee

4059514 (TN)

Commercial Insurance / Payer ID Aetna

7032445 (TN)

Commercial Insurance / Payer ID Champus Group

F03906748 (TN)

Hospital & Practice Group Affiliations

Wps Providers Inc

24530 Falcon Place Blvd, Abingdon, VA 242117665

Phone: 2766190075

Wps Providers Inc

594 Radio Hill Rd, Marion, VA 243544224

Phone: 4238442260

Wellmont Medical Associates Inc

1 Medical Park Blvd, Bristol, TN 376207430

Phone: 4238441121

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207430

Phone: 4238445583

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207431

Phone: 4238446620

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207468

Phone: 4238445500

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207430

Phone: 4238441121

Secondary Practice Locations

594 Radio Hill Rd

Marion, VA 243544224

Phone: 4238446620

1 Medical Park Blvd

Bristol, TN 376207430

Phone: 4238441121

Practice Associates & Co-Workers

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

17 Associated Practitioners

Jake Sides

Surgery

NPI 1003279662

Kelly Cox , NP

Nurse Practitioner - Family

NPI 1023650934

Nurse Practitioner

Dr. Sidney Collins , MD

Surgery

NPI 1083624365

Doctor of Medicine (M.D.)

Dr. Robert Blanton , MD

Surgery

NPI 1104921212

Doctor of Medicine (M.D.)

Dr. Glenn Birkitt , MD

Specialist

NPI 1366559684

Doctor of Medicine (M.D.)

Hannah Miller , PA-C

Physician Assistant

NPI 1407711310

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 21, 2024

Registered at 1 MEDICAL PARK BLVD STE 250W, BRISTOL, TN 376207431 (Tel: 4238446620)

📍

Updated Business Mailing Address June 21, 2024

Registered at 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 376042192 (Tel: 4233026565)

✅

NPI Profile Active July 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2016

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376207430 (Tel: 4238446620)

📍

Updated Business Mailing Address July 25, 2016

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376207430 (Tel: 4238446620)

👤

Provider Name / Credentials Updated July 25, 2016

Recorded as BENJAMIN SCHARFSTEIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2016

Surgery (License #34037 in TN)

🟢

Initial NPI Registration & Enumeration September 13, 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: 1497850515

Entity Type:

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

Enumeration Date: September 13, 2006

Last Update: December 19, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1021 W Oakland Ave Ste 310

Johnson City, TN 376042192

Phone: 4233026565

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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