2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1497216147 DO
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SCOTT BENKOVIC, DO

Physical Medicine & Rehabilitation Physician in SOUTHAMPTON, New York. 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
161
Medicare Part D claims · 68 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Industry payments
$1.2K
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SCOTT BENKOVIC, DO is a Physical Medicine & Rehabilitation Physician ([object Object]) practicing in SOUTHAMPTON, New York with a Medicare Part D prescribing footprint of 161 claims across 68 beneficiaries . Industry payments of $1.2K across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SCOTT BENKOVIC, DO filed 161 Medicare Part D claims in 2023 across SOUTHAMPTON, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SCOTT BENKOVIC, DO 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).

SCOTT BENKOVIC, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 03/26/2019

NPI 1497216147

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

161 79% vs specialty avg

2023 prescription claims

Specialty avg: 781

Specialty distribution in New York

How Physical Medicine & Rehabilitation Physician compares to other specialties among New York providers

New York providers

Physical Medicine & Rehabilitation Physician share within New York

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Physical Medicine & Rehabilitation Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physical Medicine & Rehabilitation Physician ABMS/AOA estimate

Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physical Medicine & Rehabilitation 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).

SCOTT BENKOVIC, DO is a Physical Medicine & Rehabilitation Physician provider practicing in SOUTHAMPTON, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1497216147. 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.

SCOTT BENKOVIC, DO appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding DO credentials at 240 MEETING HOUSE LN, SOUTHAMPTON, NY, 11968, with a listed phone of (631) 726-0409. NPI 1497216147 was issued on 03/26/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENKOVIC 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 161 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 18.0%. 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.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968

Provider Details

NPI 1497216147
Specialty Physical Medicine & Rehabilitation Physician
Credentials DO
Gender Male
NPI Issued 03/26/2019

Hospital and facility affiliations

Facilities where SCOTT BENKOVIC, DO 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.

TOWER HEALTH MEDICAL GROUP
WYOMISSING, PA

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SCOTT BENKOVIC, DO. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

Boston Scientific Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to SCOTT BENKOVIC, DO. To verify SCOTT BENKOVIC, DO's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

161
Total Claims
$3K
Total Drug Cost
68
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
171
Total Day Supply
4,259
Generic Drug Cost
$2K
Opioid Claims
29 (18.0% rate)

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.34
Gender Split
78% female / 22% 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
Gabapentin
39
Meloxicam
19
Baclofen
16
Methylprednisolone
13
Oxycodone Hcl
11

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

Physical Medicine & Rehabilitation Physician Overview

How SCOTT BENKOVIC, DO fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

SCOTT BENKOVIC, DO's 161 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in New York

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SCOTT BENKOVIC, DO's specialty?
SCOTT BENKOVIC, DO specializes in Physical Medicine & Rehabilitation Physician and practices in SOUTHAMPTON, New York. Credentials: DO.
How much does SCOTT BENKOVIC, DO prescribe under Medicare Part D?
In 2023, SCOTT BENKOVIC, DO wrote 161 Medicare Part D claims totaling $3K in drug costs for 68 beneficiaries.
Where is SCOTT BENKOVIC, DO located?
SCOTT BENKOVIC, DO is located at 240 MEETING HOUSE LN, SOUTHAMPTON, NY, 11968. Phone: (631) 726-0409.
What is SCOTT BENKOVIC, DO's NPI number?
SCOTT BENKOVIC, DO's National Provider Identifier (NPI) is 1497216147, issued on 03/26/2019.
Does SCOTT BENKOVIC, DO prescribe opioids?
Yes, SCOTT BENKOVIC, DO had 29 opioid claims in 2023 with an opioid prescribing rate of 18.0%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does SCOTT BENKOVIC, DO prescribe most often?
Based on 2023 Medicare Part D data, SCOTT BENKOVIC, DO's most frequently prescribed drugs include Gabapentin, Meloxicam, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SCOTT BENKOVIC, DO accept Medicare?
SCOTT BENKOVIC, DO appears in CMS Medicare data with 161 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SCOTT BENKOVIC, DO's credentials?
SCOTT BENKOVIC, DO's NPI is 1497216147 with credentials DO. 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