Kurt T Benham (NPI# 1306952981, PAC ID# 5698709327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1306952981 |
| PAC ID by PECOS | 5698709327 |
| Professional Enrollment ID | I20050923000190 |
| Full Name | Kurt T Benham |
| Organization Legal Name | KENNETH G VANDINE MDPC |
| Address |
130 S Union St 8 Allegheny Eye Assoc Olean NY 14760-3676 |
| Phone Number | 7163728642 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5698865996 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330096 | JONES MEMORIAL HOSPITAL |
| 330103 | OLEAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 130 S Union St, 8 Allegheny Eye Assoc, Olean, NY 14760-3676 | 7163728642 | KENNETH G VANDINE MDPC |
| 12 Martin St, Wellsville, NY 14895-1057 | 5855936041 | KENNETH G VANDINE MDPC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 70% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 99% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | KENNETH G VANDINE MDPC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Johnson | Ophthalmology | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Gary L Cook | Optometry | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Michael D Mortimer | Optometry | Kenneth G Vandine Mdpc | 130 S Union St, 8 Allegheny Eye Assoc, Olean, NY 14760-3676 |
| Jason D Sibble | Optometry | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Street Address |
130 S UNION ST 8 ALLEGHENY EYE ASSOC |
| City | OLEAN |
| State | NY |
| Zip | 14760-3676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine M Gleason | Certified Nurse Midwife (cnm) | Women's Health of Western New York, PC | 130 S Union St, Suite 7, Olean, NY 14760-3676 |
| Michael D Mortimer | Optometry | Kenneth G Vandine Mdpc | 130 S Union St, 8 Allegheny Eye Assoc, Olean, NY 14760-3676 |
| Michele B Simon | Audiologist | 130 S Union St, Olean, NY 14760-3676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah M Williams | Nurse Practitioner | County of Cattaraugus | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1100 |
| Donna J Gunsolus | Clinical Social Worker | County of Cattaraugus County Treasurer | 1 Leo Moss Dr 4308 Dept of Cmnty Svcs, Olean, NY 14760-1100 |
| Monir A Chaudhry | Psychiatry | County of Cattaraugus | 1 Leo Moss Dr, Suite 4308, Olean, NY 14760-1100 |
| Renee M Andrzejewski | Qualified Audiologist | 535 Main St, Olean, NY 14760-1500 | |
| Sandy A Jackson | Nurse Practitioner | Olean Medical Group Partnership | 535 Main St, Olean, NY 14760-1513 |
| Mary E Smith | Nurse Practitioner | Olean General Hospital | 515 Main St, Olean, NY 14760-1513 |
| Fred H Lewis | Allergy/immunology | Olean Medical Group Partnership | 535 Main St, Olean, NY 14760-1513 |
| Donald E Higgs | Pathology | Olean General Hospital | 515 Main St, Olean, NY 14760-1513 |
| Mary Jill Vaillancourt | Nurse Practitioner | Apogee Medical Group, New York, PC | 515 Main St, Olean, NY 14760-1513 |
| Heidi L Calhoun-nudd | Certified Registered Nurse Anesthetist (crna) | Great Lakes Anesthesiology PC | 515 Main St, Olean, NY 14760-1513 |
| Find all physicians in zip 14760 | |||
| City | OLEAN |
| Zip Code | 14760 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | OLEAN + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Kurt T Benham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.