NPPES file of Aug 9, 2026

Benjamin Jon Nelson, M.D.

Urology Physician · Newark, NY

Benjamin Jon Nelson, M.D. is a urology physician with a practice address in Newark, New York, and NPI 1023375011, issued on Apr 16, 2012. Check the license (New York 280945, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1023375011
Name
Benjamin Jon Nelson
Credential
M.D.
Primary taxonomy
Urology Physician 208800000X
License number
280945 NY
Self-reported in NPPES; status is on the state search
Practice location
1202 Driving Park Ave, Newark, NY 14513
Phone
(315) 359-2690
Enumerated
Apr 16, 2012
Record last updated
Dec 16, 2022
Medicare enrollment
Enrolled (PECOS I20180802002847); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1202 Driving Park Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Delisio, P.A.Surgical Physician Assistant1720180540
  2. Eileen Ersteniuk, CSWRSocial Worker1902826837
  3. Ralph Madeb, M.D.Urology Physician1073627337
  4. Carolyn Rhodes, PASurgical Physician Assistant1194230490

Verify Benjamin Jon Nelson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 280945
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

57% fewer Medicare Part D claims than the average urology physician in 2024

577 Medicare Part D claims for 251 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.

  1. Benjamin Nelson577
  2. Specialty average1,340

Most prescribed

  1. Tamsulosin Hcl175 claims
  2. Trospium Chloride47 claims
  3. Myrbetriq46 claims
  4. Gemtesa45 claims
  5. Finasteride40 claims
  6. Cephalexin21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 95.2 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score70.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,146.76

53 payments; by number, the most common kind was food and beverage; the largest payer was Sumitomo Pharma America, Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Benjamin Nelson$1,146.76
  2. Specialty average$3,800.04

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Western New York Medical Practice PCRochester, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Benjamin Jon Nelson among 1,091 urology physician records in New York

Benjamin Jon Nelson, M.D. is one of 1,091 urology physician records with a practice address in New York. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 73% of them.

  • NPI issued2012 · 73% of these records are older, 24% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2012 · median 2000 among the 735 with a school on file
  • Record last updated2022 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Urology Physician providers in New York

There are 1,091 urology physician records in New York.

The 8 urology physician records with the nearest ZIP codes

  1. Ralph Madeb, M.D.Newark, NY 145131073627337
  2. Richard Kasulke, MDGeneva, NY 144561093898652
  3. Emilio Lastarria, MDGeneva, NY 144561760587125
  4. Philip Ashman, MDWebster, NY 145801205895174
  5. Zaheer Alam, M.D.Dansville, NY 144371548663883
  6. Bum Lee, MDCanandaigua, NY 144241023192168
  7. Diane Lu, M.D.Canandaigua, NY 144241093071847
  8. Thomas Osinski, M.D.Canandaigua, NY 144241316309180

Common questions

What is Benjamin Jon Nelson, M.D.'s NPI number?

Benjamin Jon Nelson, M.D.'s National Provider Identifier (NPI) is 1023375011, issued on Apr 16, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Benjamin Jon Nelson, M.D. located?

The NPPES record lists a practice address at 1202 Driving Park Ave, Newark, NY, 14513. Phone: (315) 359-2690. Providers update this record themselves, so call before visiting.

How can I verify Benjamin Jon Nelson, M.D.'s license?

NPPES lists New York license number 280945, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Benjamin Jon Nelson, M.D. prescribe under Medicare Part D?

In 2024, Benjamin Jon Nelson, M.D. had 577 Medicare Part D claims for 251 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.

What is Benjamin Jon Nelson, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.