WILLIAM J BENEKE M.D
NPI 1023164522
Internal Medicine - Cardiovascular Disease in Williamsburg, VA

Active since January 26, 2007PECOS Enrolled
5215 MONTICELLO AVE, WILLIAMSBURG, VA 23188(757) 229-1440 Get Directions Write a Review

NPPES record last updated: April 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William J Beneke M.d NPPES

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

WILLIAM J BENEKE M.D (NPI 1023164522) is an individual cardiovascular disease provider in Williamsburg, Virginia, licensed in Virginia (010123629) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023164522
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameWILLIAM J BENEKECredential: M.D
Location Address5215 MONTICELLO AVEWilliamsburg, VA 23188-8213
Mailing Address5215 Monticello AveWilliamsburg, VA 23188-8213 · (757) 229-1440
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateApril 5, 2011
NPI 1023164522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 010123629
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5215 MONTICELLO AVE, Williamsburg, VA 23188

Other Identifiers 3

Medicare UPINF33759
Medicare ID-Type Unspecified00W121A02
Medicaid010077061VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

William J Beneke M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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 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.
553 services430 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
492 services401 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.
321 services235 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services51 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
97%477 patients4/55-star benchmark: 100%
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 7

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

Nurse Anesthetist, Certified Registered
5215 MONTICELLO AVE
WILLIAMSBURG, VA 23188
Internal Medicine (Cardiovascular Disease)
5215 MONTICELLO AVE
WILLIAMSBURG, VA 23188
Ophthalmology
5215 MONTICELLO AVE
WILLIAMSBURG, VA 23188
Nurse Anesthetist, Certified Registered
5215 MONTICELLO AVE
WILLIAMSBURG, VA 23188
Nurse Anesthetist, Certified Registered
5215 MONTICELLO AVE
WILLIAMSBURG, VA 23188
Ophthalmology
5215 MONTICELLO AVE
WILLIAMSBURG, VA 23188
Clinic/Center (Ambulatory Surgical)
5215 MONTICELLO AVE
WILLIAMSBURG, VA 23188

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 William Beneke's NPI number?

The NPI number for William Beneke is 1023164522. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is William Beneke located?

William Beneke practices at 5215 Monticello Ave, Williamsburg, VA 23188. The listed phone number is (757) 229-1440.

What is William Beneke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is William Beneke enrolled in Medicare?

Yes. William Beneke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Beneke was last updated on April 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.