THERESA RENEE BENECKI M.D.
NPI 1003895418
Obstetrics & Gynecology - Gynecology in Brick, NJ

Q: What is Theresa Benecki's NPI number?

The NPI number for Theresa Benecki is 1003895418. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Theresa Benecki's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Benecki was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment

19.37/100

CMS Quality Rating

1608 HIGHWAY 88, SUITE 208, BRICK, NJ 08724(732) 458-7878(732) 840-6378 Get Directions Write a Review

NPPES record last updated: October 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Theresa Renee Benecki M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA RENEE BENECKI M.D. (NPI 1003895418) is an individual gynecology provider in Brick, New Jersey, licensed in New Jersey (25MA03689200) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1978).

NPPES Registry Identity

NPI1003895418

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameTHERESA RENEE BENECKICredential: M.D.

Location Address1608 HIGHWAY 88, SUITE 208Brick, NJ 08724-3009

Mailing Address1608 Highway 88, Suite 208Brick, NJ 08724-3009 · (732) 458-7878 · Fax (732) 840-6378

Phone(732) 458-7878

Fax(732) 840-6378

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1978

Enumeration DateJanuary 13, 2006

Last NPPES UpdateOctober 13, 2010

✔ NPI 1003895418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in NJ · 25MA03689200

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1608 HIGHWAY 88, Brick, NJ 08724

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Other Identifiers 3

Medicare UPINC63177

Medicare ID-Type Unspecified191030039

Medicaid2533006NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Renee Benecki M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658559620

PECOS Enrollment IDI20110621000651

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Benecki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pineland Associates In Obstetrics-Gynecology,pa

Same address

Gynecology

1608 HIGHWAY 88 WEST, SUITE 208
Brick, NJ 08724

Reassigned Medicare billing, New Jersey enrollment

NPI 1801989066 (732) 458-7878

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

1,105 services938 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

831 services831 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

554 services554 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

553 services553 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

512 services468 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

480 services480 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

247 services202 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

192 services179 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

73 services73 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

54 services54 patients

Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274

A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.

47 services47 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

31 services31 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

22 services12 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

18 services18 patients

Biopsy of lining of uterus and/or removal of polyp using an endoscope 58558

This procedure involves using a thin, flexible tool (endoscope) to examine and possibly remove a small tissue sample from the inner layer of your uterus. It may also involve removing a growth. It helps to identify any issues and plan the right treatment.

17 services17 patients

Biopsy and scraping of cervix using an endoscope 57454

A biopsy and scraping of the cervix using an endoscope is a procedure where a small camera is used to view the cervix. A small sample of tissue is then gently removed and examined for any abnormalities. This is done to ensure your health and well-being.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Medical Center

Acute Care Hospitals · Toms River, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310041

Location99 Rt 37 WestToms River, NJ 08755 · Ocean County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310075

Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County

Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310084

Location600 River AveLakewood, NJ 08701 · Ocean County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

19.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

64.57

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

97%1,553 patients5/55-star benchmark: 92%

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

97%1,452 patients

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

67%1,659 patients4/55-star benchmark: 85%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

94%79 patients4/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

98%3,705 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%3,362 patients5/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

5%1,029 patients1/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

73%2,902 patients4/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

31%1,172 patients2/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 2,637 patients

Patients tobacco: 98% · 2,637 patients

79%185 patients4/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…

84%646 patients4/55-star benchmark: 89%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 1,029 patients

1%1,029 patients4/55-star benchmark: 100%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 14% · 21 patients

100%21 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIETER JAN KETELAAR M.D.

Obstetrics & Gynecology (Gynecology)

1608 HIGHWAY 88, SUITE 208
BRICK, NJ 08724

Ocean County (732) 458-7878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Benecki's NPI number?

The NPI number for Theresa Benecki is 1003895418. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Theresa Benecki located?

Theresa Benecki practices at 1608 Highway 88 Suite 208, Brick, NJ 08724. The listed phone number is (732) 458-7878.

What is Theresa Benecki's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Theresa Benecki enrolled in Medicare?

Yes. Theresa Benecki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Theresa Benecki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Benecki reassigns Medicare benefits to Pineland Associates In Obstetrics-Gynecology,pa (Brick, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Benecki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Benecki accept?

Health plans from Oscar Health list Theresa Benecki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Benecki affiliated with any hospitals?

According to CMS data, Theresa Benecki is affiliated with Community Medical Center, Ocean Medical Center, Monmouth Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Theresa Benecki was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.