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MARCO A BENITEZ M.D
NPI 1013022979
Psychiatry & Neurology - Neurology in Lufkin, TX

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3006 S 1ST ST STE B, LUFKIN, TX 75901(936) 639-2222(936) 639-8810 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2021, Nov 17, 2020 (2 updates tracked since 2020).

About Marco A Benitez M.d NPPES

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

MARCO A BENITEZ M.D (NPI 1013022979) is an individual neurology provider in Lufkin, Texas, licensed in Texas (L8616) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Woodland Heights Medical Center, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1013022979
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMARCO A BENITEZCredential: M.D
Location Address3006 S 1ST ST STE BLufkin, TX 75901-7112
Mailing Address3006 S 1st St Ste BLufkin, TX 75901-7112 · (936) 639-2222 · Fax (936) 639-8810
Phone(936) 639-2222
Fax(936) 639-8810
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 20, 2006
Last NPPES UpdateSeptember 1, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2021
✔ NPI 1013022979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in TX · L8616✔ Licensed in FL · ME145526
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3006 S 1ST ST STE B, Lufkin, TX 75901
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Secondary Practice Location 1

Location 12130 SW 24th TerMiami, FL 33145-3733 · Phone (936) 676-3516

Other Identifiers 1

Medicaid177021601TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marco A Benitez 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 ID3678470036
PECOS Enrollment IDI20050921000955
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.

Areas of Expertise CMS Part B claims 9

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.

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.
1,605 services219 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
138 services69 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
67 services67 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
63 services61 patients
Testing of autonomic nervous system function and heart rate response to deep breathing 95921
This test studies the autonomic nervous system, which controls body functions like heart rate. During the test, you'll breathe deeply while the heart rate is monitored. This helps identify any irregularities in the heart's response to breathing changes.
63 services61 patients
Testing of autonomic (sympathetic) nervous system function 95923
Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.
63 services61 patients

Hospital Affiliations CMS Care Compare

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

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75901 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$45.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Marco Benitez's NPI number?

The NPI number for Marco Benitez is 1013022979. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Marco Benitez located?

Marco Benitez practices at 3006 S 1st St Ste B, Lufkin, TX 75901. The listed phone number is (936) 639-2222.

What is Marco Benitez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Marco Benitez enrolled in Medicare?

Yes. Marco Benitez 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.

What insurance does Marco Benitez accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Marco Benitez 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 Marco Benitez affiliated with any hospitals?

According to CMS data, Marco Benitez is affiliated with Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Marco Benitez was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.