2026 NPPES data Social Worker NPI 1518442854
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HERBERT BENTON

Social Worker in SOMERVILLE, 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.
MIPS score
86.2643/100
▲ 3 pts above national avg 83.1 · [object Object]

What the federal data shows

HERBERT BENTON reported a CMS MIPS final score of 86.2643/100 — above the 83.1 national average.

86.2643/100
MIPS score · +3 vs avg

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.

HERBERT BENTON's MIPS score vs every scored U.S. clinician

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

86 Top 48% higher than 52% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about HERBERT BENTON?

High performer (top quartile)

NPI registry status

Active

Issued 10/02/2018

NPI 1518442854

Primary specialty

Social Worker

High-volume

139,752 US NPIs in this specialty

MIPS final score

86.2643/100 3.1643000000000114% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Social Worker compares to other specialties among Massachusetts providers

Massachusetts providers

Social Worker share within Massachusetts

1. Social Worker42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Social Worker share within Massachusetts

Medicare quality performance — MIPS

HERBERT BENTON's 2023 MIPS final score plotted against the Social Worker national average

High performer (top quartile)
MIPS Final Score
86.2643/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Social Worker) — 86.2643/100 vs national avg 83.1

0%100%National avg83%86.3%
MIPS final score (Social Worker) — 86.2643/100 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).

HERBERT BENTON appears in the CMS NPPES registry as a Social Worker provider at 26 CENTRAL ST, SOMERVILLE, MA, 02143, with a listed phone of (617) 665-3220. NPI 1518442854 was issued on 10/02/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENTON 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 Social Worker providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.2643/100 for the 2023 performance year (Quality 78.8411, Cost 58.7066), compared with the national average of 83.1.

Social Worker is a high-volume specialty nationwide, with 139,752 enrolled providers across 54 states and an average of 1,486 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

26 CENTRAL ST
SOMERVILLE, MA 02143

Provider Details

NPI 1518442854
Specialty Social Worker
Gender Male
NPI Issued 10/02/2018

CMS Quality Score (MIPS)

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

86.2643
Final Score
Avg: 83.1
78.8411
Quality
58.7066
Cost
100
Promoting Interoperability

Reporting: Group practice

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 HERBERT BENTON. To verify HERBERT BENTON'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.

Social Worker Overview

How HERBERT BENTON fits within the Social Worker landscape nationally.

139,752
Social Worker Providers in US
54
States with Social Worker
1,486
Avg Claims per Provider

Nearby Social Worker Providers in Massachusetts

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

Compare Social Worker nationally: see state-by-state distribution →

Frequently Asked Questions

What is HERBERT BENTON's specialty?
HERBERT BENTON specializes in Social Worker and practices in SOMERVILLE, Massachusetts.
What is HERBERT BENTON's Medicare quality score?
HERBERT BENTON has a CMS MIPS Final Score of 86.2643/100 (Quality: 78.8411, Cost: 58.7066). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HERBERT BENTON located?
HERBERT BENTON is located at 26 CENTRAL ST, SOMERVILLE, MA, 02143. Phone: (617) 665-3220.
What is HERBERT BENTON's NPI number?
HERBERT BENTON's National Provider Identifier (NPI) is 1518442854, issued on 10/02/2018.
How many Social Worker providers are there in the US?
There are 139,752 Social Worker providers across 54 states in the US. The average Social Worker provider writes 1,486 Medicare Part D claims per year.
Does HERBERT BENTON accept Medicare?
HERBERT BENTON appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HERBERT BENTON's credentials?
HERBERT BENTON's NPI is 1518442854. 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.
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