2026 NPPES data Pediatric Nephrology Physician NPI 1326485087 MD
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ADAM BENSIMHON, MD

Pediatric Nephrology Physician in OKLAHOMA CITY, Oklahoma. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.

What the federal data shows

ADAM BENSIMHON, MD is a Pediatric Nephrology Physician in OKLAHOMA CITY, Oklahoma, listed in the federal CMS National Provider Identifier registry.

Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Board certification likely (heuristic — not verified)

ADAM BENSIMHON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ADAM BENSIMHON, MD?

Quality data not reported

NPI registry status

Active

Issued 06/04/2013

NPI 1326485087

Primary specialty

Pediatric Nephrology Physician

Niche

723 US NPIs in this specialty

Specialty distribution in Oklahoma

How Pediatric Nephrology Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Pediatric Nephrology Physician share within Oklahoma

1. Pediatric Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nephrology Physician share within Oklahoma

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Nephrology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ADAM BENSIMHON, MD appears in the CMS NPPES registry as a Pediatric Nephrology Physician provider holding MD credentials at 1200 CHILDRENS AVE, OKLAHOMA CITY, OK, 73104, with a listed phone of (405) 271-5211. NPI 1326485087 was issued on 06/04/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENSIMHON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Nephrology Physician providers operate outside Part D entirely.

Pediatric Nephrology Physician is a narrow specialty nationwide, with 723 enrolled providers across 50 states and an average of 97 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104

Provider Details

NPI 1326485087
Specialty Pediatric Nephrology Physician
Credentials MD
Gender Male
NPI Issued 06/04/2013

Hospital and facility affiliations

Facilities where ADAM BENSIMHON, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SPECTRUM HEALTH PRIMARY CARE PARTNERS
GRAND RAPIDS, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Pediatric Nephrology Physician Overview

How ADAM BENSIMHON, MD fits within the Pediatric Nephrology Physician landscape nationally.

723
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
97
Avg Claims per Provider

Nearby Pediatric Nephrology Physician Providers in Oklahoma

Other clinicians with the same primary specialty enrolled in Oklahoma, drawn from the same CMS NPPES roster as BENSIMHON.

Compare Pediatric Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADAM BENSIMHON, MD's specialty?
ADAM BENSIMHON, MD specializes in Pediatric Nephrology Physician and practices in OKLAHOMA CITY, Oklahoma. Credentials: MD.
Where is ADAM BENSIMHON, MD located?
ADAM BENSIMHON, MD is located at 1200 CHILDRENS AVE, OKLAHOMA CITY, OK, 73104. Phone: (405) 271-5211.
What is ADAM BENSIMHON, MD's NPI number?
ADAM BENSIMHON, MD's National Provider Identifier (NPI) is 1326485087, issued on 06/04/2013.
How many Pediatric Nephrology Physician providers are there in the US?
There are 723 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 97 Medicare Part D claims per year.
Does ADAM BENSIMHON, MD accept Medicare?
ADAM BENSIMHON, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM BENSIMHON, MD's credentials?
ADAM BENSIMHON, MD's NPI is 1326485087 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology