BENJAMIN M TELLER (OD) – Optometrist, NPI 1447282702

BENJAMIN M TELLER (OD) is a healthcare provider. based in Chevy chase, Maryland. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. TA1389 (MD). The NPI Number for BENJAMIN M TELLER (OD) is 1447282702

Main info

Male
30 Years Of Experience
Name
BENJAMIN M TELLER (OD)
NPI
1447282702
Phone
(301) 841-6776
Address
4600 N PARK AVE
Enumeration Date
7 July 2006
Last Update Date
19 December 2014

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
3018416776
Graduation Year
1996 (30 years ago)
PAC ID
7214122027
Group Practice PAC ID
8123240546
Professional Enrollment ID
I20101105000992
Address ID
MD208154518CH4600XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

626 OPTOMETRY in MD

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Provider Addresses for BENJAMIN M TELLER (OD)

  • 4600, Maple Avenue, Wisconsin North, Bethesda, Montgomery County, Maryland, 20814, United States

    PLAZA NORTH

    CHEVY CHASE, MD 208154518

    Phone: (301) 841-6776

    Fax: (301) 215-4144

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,879.

Total Amount is formed as General ($1,879) + Research ($0) + Ownership ($0) = $1,879.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($403).

Total Amount

$1,879

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,879

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101105000992IOptometryDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system287205$0
92250Photography of the retina200184$0
83861Microfluid analysis of tears19472$0
92012Established patient problem focused exam of visual system9555$0
92133Imaging of optic nerve7759$0
View full utilization report →

Insurance plans in this area (ZIP 20815)

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Provider's Procedures

BENJAMIN M TELLER (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMD92012Eye and medical examination for diagnosis and treatment, established patient9053
OPTOMETRYMD92083Measurement of field of vision during daylight conditions1916
OPTOMETRYMD92134Diagnostic imaging of retina3432

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123240546View full group profile
NameSpecialtyState
O P T O M E T R YMD

Reviews

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Frequently asked questions

Is there an official ID for BENJAMIN M TELLER (OD) in U.S. healthcare records?
The official identifier for BENJAMIN M TELLER (OD) is NPI 1447282702.
Is BENJAMIN M TELLER (OD) still an active registrant?
BENJAMIN M TELLER (OD) carries an active NPI according to the public dataset.
How would a patient describe BENJAMIN M TELLER (OD)'s focus?
For BENJAMIN M TELLER (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Maryland is BENJAMIN M TELLER (OD) registered?
Use Chevy Chase, Maryland as the headline location for BENJAMIN M TELLER (OD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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