2026 NPPES data Surgery Physician NPI 1609239664
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BENJAMIN NELSON

Surgery Physician in BOSTON, Massachusetts. 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
64
Medicare Part D claims · 33 beneficiaries · Surgery Physician avg: 169
MIPS score
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

BENJAMIN NELSON reported a CMS MIPS final score of 98.0699/100 — above the 83.1 national average — and filed 64 Medicare Part D claims in 2023.

98.0699/100
MIPS score · +15 vs avg
64
Part D claims, 2023
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.

BENJAMIN NELSON's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

98 Top 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

BENJAMIN NELSON practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 BENJAMIN NELSON?

High performer (top quartile)

NPI registry status

Active

Issued 03/29/2016

NPI 1609239664

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

64 62% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Surgery Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Surgery Physician share within Massachusetts

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Massachusetts

Medicare quality performance — MIPS

BENJAMIN NELSON's 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Surgery Physician) — 98.0699/100 vs national avg 83.1

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 NELSON appears in the CMS NPPES registry as a Surgery Physician provider at 88 E NEWTON ST, BOSTON, MA, 02118, with a listed phone of (617) 638-8442. NPI 1609239664 was issued on 03/29/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NELSON 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 64 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $764 in drug spend, with an opioid prescribing rate of 20.3%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.0699/100 for the 2023 performance year (Quality 86.1398), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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 E NEWTON ST
BOSTON, MA 02118

Provider Details

NPI 1609239664
Specialty Surgery Physician
Gender Male
NPI Issued 03/29/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where BENJAMIN NELSON 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.

MAINEHEALTH
PORTLAND, ME

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

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to BENJAMIN NELSON. To verify BENJAMIN NELSON's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

64
Total Claims
$764
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
71
Total Day Supply
1,317
Brand Drug Cost
$0
Generic Drug Cost
$764
Opioid Claims
13 (20.3% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.18
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Omeprazole
17
Oxycodone Hcl
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgery Physician Overview

How BENJAMIN NELSON fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

BENJAMIN NELSON's 64 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Massachusetts

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

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

Frequently Asked Questions

What is BENJAMIN NELSON's specialty?
BENJAMIN NELSON specializes in Surgery Physician and practices in BOSTON, Massachusetts.
How much does BENJAMIN NELSON prescribe under Medicare Part D?
In 2023, BENJAMIN NELSON wrote 64 Medicare Part D claims totaling $764 in drug costs for 33 beneficiaries.
What is BENJAMIN NELSON's Medicare quality score?
BENJAMIN NELSON has a CMS MIPS Final Score of 98.0699/100 (Quality: 86.1398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BENJAMIN NELSON located?
BENJAMIN NELSON is located at 88 E NEWTON ST, BOSTON, MA, 02118. Phone: (617) 638-8442.
What is BENJAMIN NELSON's NPI number?
BENJAMIN NELSON's National Provider Identifier (NPI) is 1609239664, issued on 03/29/2016.
Does BENJAMIN NELSON prescribe opioids?
Yes, BENJAMIN NELSON had 13 opioid claims in 2023 with an opioid prescribing rate of 20.3%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does BENJAMIN NELSON prescribe most often?
Based on 2023 Medicare Part D data, BENJAMIN NELSON's most frequently prescribed drugs include Omeprazole, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BENJAMIN NELSON accept Medicare?
BENJAMIN NELSON appears in CMS Medicare data with 64 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN NELSON's credentials?
BENJAMIN NELSON's NPI is 1609239664. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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