JORGE FERNANDO CRUZ BENITEZ MD
NPI 1043598287
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX

Q: What is Jorge Cruz Benitez's NPI number?

The NPI number for Jorge Cruz Benitez is 1043598287. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Q: What is Jorge Cruz Benitez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since July 21, 2011PECOS EnrolledAccepts Medicare Assignment

85.45/100

CMS Quality Rating

6565 FANNIN ST, HOUSTON, TX 77030(713) 394-6450(210) 614-4636 Get Directions Write a Review

NPPES record last updated: March 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 1, 2025, Oct 10, 2018 (2 updates tracked since 2018).

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About Jorge Fernando Cruz Benitez Md NPPES

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

JORGE FERNANDO CRUZ BENITEZ MD (NPI 1043598287) is an individual anatomic pathology & clinical pathology provider in Houston, Texas, licensed in Texas (R4206) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Baytown Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1043598287

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameJORGE FERNANDO CRUZ BENITEZCredential: MD

Location Address6565 FANNIN STHouston, TX 77030-2703

Mailing AddressPo Box 4701Houston, TX 77210-4701 · (800) 288-8325

Phone(713) 394-6450

Fax(210) 614-4636

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 21, 2011

Last NPPES UpdateMarch 1, 20252 updates tracked since enumeration

NPPES CertifiedMarch 1, 2025

✔ NPI 1043598287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TX · R4206

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

6565 FANNIN ST, Houston, TX 77030

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jorge Fernando Cruz Benitez Md 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 ID3173885480

PECOS Enrollment IDI20180327001203

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

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

Methodist Pathology Associates PLLC

Same address

Anatomic Pathology & Clinical Pathology

6565 FANNIN STREET, MS205
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
87 clinicians in this Medicare group

NPI 1215995584 (346) 238-5867

Pathology Associates Of San Antonio, L.L.P.

191 mi

Anatomic Pathology & Clinical Pathology

9720 DATAPOINT DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
28 clinicians in this Medicare group

NPI 1407844848 (210) 892-3700

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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

761 services330 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

124 services38 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

100 services88 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

73 services63 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

59 services50 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

41 services37 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

38 services33 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

35 services23 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

26 services17 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

23 services16 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

13 services12 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450424

Location4401 Garth RoadBaytown, TX 77521 · Harris County

Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450709

Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

85.45/100

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

Scored as part of a group practice

Quality

82.89

Improvement Activities

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.

SMAROULA DILIOGLOU PHD

Specialist/Technologist, Pathology

6565 FANNIN ST, MS205
HOUSTON, TX 77030

Harris County (713) 394-6450

MS. PRISCILLA DIAZ RN

Registered Nurse

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-2030

HOUSTON METHODIST CARDIOVASCULAR ANESTHESIA

Anesthesiology

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 667-6097

LAN ZHOU MD

Pathology (Anatomic Pathology & Clinical Pathology)

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 394-6450

DR. AMANDA WALTON BASFORD M.D.

Internal Medicine (Nephrology)

6565 FANNIN ST, FONDREN 270
HOUSTON, TX 77030

Harris County (713) 441-0006

MRS. AMY REYES MICLAT RN, MS, CCRN, APRN-B

Nurse Practitioner (Acute Care)

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-4999

DR. MAHEEN ADAM WARDAK MD

Anesthesiology

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-2194

DR. SHUANG LI M.D.

Hospitalist

6565 FANNIN ST
HOUSTON, TX 77030

Harris County (832) 368-9466

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 Jorge Cruz Benitez's NPI number?

The NPI number for Jorge Cruz Benitez is 1043598287. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Jorge Cruz Benitez located?

Jorge Cruz Benitez practices at 6565 Fannin St, Houston, TX 77030. The listed phone number is (713) 394-6450.

What is Jorge Cruz Benitez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jorge Cruz Benitez enrolled in Medicare?

Yes. Jorge Cruz 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.

Which organizations bill Medicare for Jorge Cruz Benitez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Cruz Benitez reassigns Medicare benefits to 2 organizations: Methodist Pathology Associates PLLC (Houston, TX) and Pathology Associates Of San Antonio, L.L.P. (San Antonio, TX). 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 Jorge Cruz Benitez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jorge Cruz Benitez accept?

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

According to CMS data, Jorge Cruz Benitez is affiliated with Houston Methodist Baytown Hospital and Houston Methodist Clear Lake Hospital.

When was this NPI record last updated?

The NPPES record for Jorge Cruz Benitez was last updated on March 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.