BENJAMIN S SCHARFSTEIN (M.D.) – Surgery Physician, NPI 1497850515
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
Provider Addresses for BENJAMIN S SCHARFSTEIN (M.D.)
594 Radio Hill Rd
Marion, VA 243544224
Phone: (423) 844-6620
Type: Location
1 Medical Park Blvd
Bristol, TN 376207430
Phone: (423) 844-1121
Type: Location
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 376042192
Phone: (423) 302-6565
Type: Mailing
Bristol Regional Medical Center, 1, Medical Park Boulevard, Bristol, Sullivan County, Tennessee, 37620, United States
250 WEST
BRISTOL, TN 376207430
Phone: (423) 844-6620
Fax: (423) 844-6627
Type: Mailing
1 MEDICAL PARK BLVD STE 250W
BRISTOL, TN 376207431
Phone: (423) 844-6620
Fax: (423) 844-6626
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $2,815.
Total Amount is formed as General ($2,815) + Research ($0) + Ownership ($0) = $2,815.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,388).
Total Amount
$2,815
General + Research + Ownership
Payments
35
Total payment records
General Amount
$2,815
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,388 |
| W. L. Gore & Associates, Inc. | $187 |
| Medtronic, Inc. | $45 |
| Davol Inc. | $33 |
| Bolton Medical Inc | $33 |
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: 2023-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100209000017 | I | General Surgery | TN | TBD |
| I20230117000074 | I | General Surgery | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 85 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 95 | 95 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 68 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 57 | 57 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 40 | 39 | $0 |
Insurance plans in this area (ZIP 24354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TN | |
| - | VA | |
| Family Practice | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Certified Nurse Midwife (Cnm) | NC | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| Hematology/Oncology, Hospitalist | FL | |
| Nurse Practitioner | TN |
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