2026 NPPES data Gastroenterology Physician NPI 1518428069 MD
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BENJAMIN BIEDERMAN, MD

Gastroenterology Physician in MONTCLAIR, New Jersey. 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.
Prescribing volume
25
Medicare Part D claims · 14 beneficiaries · Gastroenterology Physician avg: 833
What the federal data reveals: BENJAMIN BIEDERMAN, MD is a Gastroenterology Physician ([object Object]) practicing in MONTCLAIR, New Jersey with a Medicare Part D prescribing footprint of 25 claims across 14 beneficiaries .

What stands out: BENJAMIN BIEDERMAN, MD filed 25 Medicare Part D claims in 2023 across MONTCLAIR, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BENJAMIN BIEDERMAN, 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).

BENJAMIN BIEDERMAN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/27/2019

NPI 1518428069

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

25 97% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in New Jersey

How Gastroenterology Physician compares to other specialties among New Jersey providers

New Jersey providers

Gastroenterology Physician share within New Jersey

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Jersey

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Gastroenterology 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).

BENJAMIN BIEDERMAN, MD is a Gastroenterology Physician provider practicing in MONTCLAIR, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1518428069. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BENJAMIN BIEDERMAN, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 88 PARK ST, MONTCLAIR, NJ, 07042, with a listed phone of (201) 630-7638. NPI 1518428069 was issued on 03/27/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIEDERMAN 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 records for calendar year 2023 show 25 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $556 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

88 PARK ST
MONTCLAIR, NJ 07042

Provider Details

NPI 1518428069
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 03/27/2019

Hospital and facility affiliations

Facilities where BENJAMIN BIEDERMAN, 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.

GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC
MONTCLAIR, NJ

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

25
Total Claims
$556
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
35
Total Day Supply
879
Generic Drug Cost
$533

Patient Demographics

Average Patient Age
67.9 years
Avg HCC Risk Score
2.38

Gastroenterology Physician Overview

How BENJAMIN BIEDERMAN, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

BENJAMIN BIEDERMAN, MD's 25 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BIEDERMAN.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BENJAMIN BIEDERMAN, MD's specialty?
BENJAMIN BIEDERMAN, MD specializes in Gastroenterology Physician and practices in MONTCLAIR, New Jersey. Credentials: MD.
How much does BENJAMIN BIEDERMAN, MD prescribe under Medicare Part D?
In 2023, BENJAMIN BIEDERMAN, MD wrote 25 Medicare Part D claims totaling $556 in drug costs for 14 beneficiaries.
Where is BENJAMIN BIEDERMAN, MD located?
BENJAMIN BIEDERMAN, MD is located at 88 PARK ST, MONTCLAIR, NJ, 07042. Phone: (201) 630-7638.
What is BENJAMIN BIEDERMAN, MD's NPI number?
BENJAMIN BIEDERMAN, MD's National Provider Identifier (NPI) is 1518428069, issued on 03/27/2019.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does BENJAMIN BIEDERMAN, MD accept Medicare?
BENJAMIN BIEDERMAN, MD appears in CMS Medicare data with 25 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN BIEDERMAN, MD's credentials?
BENJAMIN BIEDERMAN, MD's NPI is 1518428069 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.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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