MONICA BENAVIDES
NPI 1043476674
Internal Medicine - Cardiovascular Disease in Pittsburgh, PA

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
200 DELAFIELD RD, SUITE 3010, PITTSBURGH, PA 15215(412) 781-4860 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2021, Oct 18, 2018 (2 updates tracked since 2018).

About Monica Benavides NPPES

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

MONICA BENAVIDES (NPI 1043476674) is an individual cardiovascular disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD461468) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of University Of Texas Medical School At San Antonio (2008).

NPPES Registry Identity

NPI1043476674
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameMONICA BENAVIDES
Location Address200 DELAFIELD RD, SUITE 3010Pittsburgh, PA 15215-3205
Mailing Address200 Lothrop Street Upmc Physician Services, Suite 3010Pittsburgh, PA 15213
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2008
Enumeration DateAugust 4, 2008
Last NPPES UpdateMay 28, 20212 updates tracked since enumeration
NPI 1043476674 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 PA · MD461468
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.

200 DELAFIELD RD, Pittsburgh, PA 15215

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

Monica Benavides 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 ID244451532
PECOS Enrollment IDI20171026001498
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 13

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
275 services240 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.
197 services56 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.
137 services115 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.
121 services118 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
101 services101 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
43 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15215 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 20

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

Physician Assistant
200 DELAFIELD RD, SUITE 1040
PITTSBURGH, PA 15215
Orthopaedic Surgery
200 DELAFIELD RD, SUITE 1040 MEDICAL ARTS BLDG
PITTSBURGH, PA 15215
Internal Medicine (Geriatric Medicine)
200 DELAFIELD RD, SUITE 2005
PITTSBURGH, PA 15215
Physician Assistant (Medical)
200 DELAFIELD RD, 200 MEDICAL ARTS BUILDING SUITE 2040
PITTSBURGH, PA 15215
Durable Medical Equipment & Medical Supplies
200 DELAFIELD RD, SUITE 3050
PITTSBURGH, PA 15215
Specialist/Technologist, Pathology (Medical Technologist)
200 DELAFIELD RD
PITTSBURGH, PA 15215
Physician Assistant (Medical)
200 DELAFIELD RD, SUITE 2040
PITTSBURGH, PA 15215
Obstetrics & Gynecology
200 DELAFIELD RD, SUITE 2010
PITTSBURGH, PA 15215

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 Monica Benavides's NPI number?

The NPI number for Monica Benavides is 1043476674. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Monica Benavides located?

Monica Benavides practices at 200 Delafield Rd Suite 3010, Pittsburgh, PA 15215. The listed phone number is (412) 781-4860.

What is Monica Benavides's specialty?

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

Is Monica Benavides enrolled in Medicare?

Yes. Monica Benavides 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.

Is Monica Benavides affiliated with any hospitals?

According to CMS data, Monica Benavides is affiliated with Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Monica Benavides was last updated on May 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.