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DR. FRANCES BRLIT BENKO D.O.
NPI 1013395227
Family Medicine in American Canyon, CA

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment
416 NAPA JUNCTION RD # 140, AMERICAN CANYON, CA 94503(707) 646-5500 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2024, Jan 18, 2023, Dec 8, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Frances Brlit Benko D.o. NPPES

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

DR. FRANCES BRLIT BENKO D.O. (NPI 1013395227) is an individual family medicine provider in American Canyon, California, licensed in California (20A20194) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2015).

NPPES Registry Identity

NPI1013395227
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FRANCES BRLIT BENKOCredential: D.O.
Location Address416 NAPA JUNCTION RD # 140American Canyon, CA 94503-1281
Mailing Address416 Napa Junction Rd # 140American Canyon, CA 94503-1281 · (707) 646-5500
Phone(707) 646-5500
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2015
Enumeration DateMay 8, 2015
Last NPPES UpdateAugust 1, 20244 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1013395227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A20194
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
416 NAPA JUNCTION RD # 140, American Canyon, CA 94503
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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

Dr. Frances Brlit Benko D.o. 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 ID1052627981
PECOS Enrollment IDI20221003001860
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 Reassignments

2

Medicare enrollment records show Frances Benko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northbay Health Medical Foundation
7.1 mi
Internal Medicine
4500 BUSINESS CENTER DR
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 225 clinicians in this Medicare group
NPI 1760283527 (707) 646-3110
Northbay Healthcare Group
12 mi
Addiction Medicine
1860 PENNSYLVANIA AVE STE 230
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Northbay Physicians Surgery Center, LLC
  • 516 clinicians in this Medicare group
NPI 1780736736 (707) 646-4370

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 6

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.
168 services75 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.
42 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services17 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.
20 services20 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.
17 services17 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94503 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
$98.97 typical visit price
range $65.08 – $192.16
Typical copayment $24.74 (range $16.27 – $48.04)
Most-billed visit code 99203
Established Patient
$113.15 typical visit price
range $21.86 – $157.83
Typical copayment $28.28 (range $5.46 – $39.45)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers29 claims63 services$5.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers23 claims23 services$191.31 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 Frances Benko's NPI number?

The NPI number for Frances Benko is 1013395227. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Frances Benko located?

Frances Benko practices at 416 Napa Junction Rd # 140, American Canyon, CA 94503. The listed phone number is (707) 646-5500.

What is Frances Benko's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Frances Benko enrolled in Medicare?

Yes. Frances Benko 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 organizations bill Medicare for Frances Benko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frances Benko reassigns Medicare benefits to 2 organizations: Northbay Health Medical Foundation (Fairfield, CA) and Northbay Healthcare Group (Fairfield, CA). Each 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 Frances Benko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Frances Benko was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.