2026 NPPES data Hospitalist Physician NPI 1770145039
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PATRICK BENJAMIN

Hospitalist Physician in FALL RIVER, 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
249
Medicare Part D claims · 96 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.9984/100
▼ 5 pts below national avg 83.1 · [object Object]
What the federal data reveals: PATRICK BENJAMIN is a Hospitalist Physician ([object Object]) practicing in FALL RIVER, Massachusetts with a Medicare Part D prescribing footprint of 249 claims across 96 beneficiaries — 17% brand-name prescribing . Their CMS MIPS Final Score of 77.9984/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PATRICK BENJAMIN reported a CMS MIPS final score of 77.9984 out of 100, below the 83.1 national average, and filed 249 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PATRICK BENJAMIN 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).

PATRICK BENJAMIN at a glance

Below national average

NPI registry status

Active

Issued 07/07/2019

NPI 1770145039

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

249 72% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

77.9984/100 5.101599999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Hospitalist Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Hospitalist Physician share within Massachusetts

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

Medicare quality performance — MIPS

PATRICK BENJAMIN's 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
77.9984/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 77.9984/100 vs national avg 83.1

0%100%National avg83%78%
MIPS final score (Hospitalist Physician) — 77.9984/100 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).

PATRICK BENJAMIN is a Hospitalist Physician provider practicing in FALL RIVER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1770145039. 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.

PATRICK BENJAMIN appears in the CMS NPPES registry as a Hospitalist Physician provider at 363 HIGHLAND AVE, FALL RIVER, MA, 02720, with a listed phone of (508) 973-5919. NPI 1770145039 was issued on 07/07/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENJAMIN 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 249 prescription claims written by this provider, covering 96 Medicare beneficiaries and totaling roughly $18K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 4.8%. 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 77.9984/100 for the 2023 performance year (Quality 80.1358, Cost 47.3589), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

363 HIGHLAND AVE
FALL RIVER, MA 02720

Provider Details

NPI 1770145039
Specialty Hospitalist Physician
Gender Male
NPI Issued 07/07/2019

CMS Quality Score (MIPS)

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

77.9984
Final Score
Avg: 83.1
80.1358
Quality
47.3589
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PATRICK BENJAMIN 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.

SOUTHCOAST PHYSICIANS GROUP INC
NEW BEDFORD, MA

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 PATRICK BENJAMIN. To verify PATRICK BENJAMIN'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.

Brand vs generic prescribing mix · Typical

PATRICK BENJAMIN — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 249 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

249
Total Claims
$18K
Total Drug Cost
96
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
382
Total Day Supply
9,085
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$15K
Generic Drug Cost
$3K
Opioid Claims
12 (4.8% rate)
Antibiotic Claims
30

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
2.43
Gender Split
49% female / 51% male
Age Distribution
<65: 17, 65-74: 36, 75-84: 29, 85+: 14

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
37
Eliquis
Apixaban
32
Amlodipine Besylate
14
Prednisone
12

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

Hospitalist Physician Overview

How PATRICK BENJAMIN fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

PATRICK BENJAMIN's 249 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Massachusetts

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

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

Frequently Asked Questions

What is PATRICK BENJAMIN's specialty?
PATRICK BENJAMIN specializes in Hospitalist Physician and practices in FALL RIVER, Massachusetts.
How much does PATRICK BENJAMIN prescribe under Medicare Part D?
In 2023, PATRICK BENJAMIN wrote 249 Medicare Part D claims totaling $18K in drug costs for 96 beneficiaries.
What is PATRICK BENJAMIN's Medicare quality score?
PATRICK BENJAMIN has a CMS MIPS Final Score of 77.9984/100 (Quality: 80.1358, Cost: 47.3589). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PATRICK BENJAMIN located?
PATRICK BENJAMIN is located at 363 HIGHLAND AVE, FALL RIVER, MA, 02720. Phone: (508) 973-5919.
What is PATRICK BENJAMIN's NPI number?
PATRICK BENJAMIN's National Provider Identifier (NPI) is 1770145039, issued on 07/07/2019.
Does PATRICK BENJAMIN prescribe more brand-name or generic drugs?
PATRICK BENJAMIN's prescribing is 17% brand-name and 83% generic drugs by claim count, with $15K in brand drug costs.
Does PATRICK BENJAMIN prescribe opioids?
Yes, PATRICK BENJAMIN had 12 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does PATRICK BENJAMIN prescribe most often?
Based on 2023 Medicare Part D data, PATRICK BENJAMIN's most frequently prescribed drugs include Omeprazole, Eliquis, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATRICK BENJAMIN accept Medicare?
PATRICK BENJAMIN appears in CMS Medicare data with 249 Part D claims and 96 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATRICK BENJAMIN's credentials?
PATRICK BENJAMIN's NPI is 1770145039. 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