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DR. LORENA BENAVIDES M.D.
NPI 1053375949
Obstetrics & Gynecology - Gynecology in Raleigh, NC

Active since April 17, 2006Opted out of Medicare · through Apr 1, 2027
2304 WESVILL CT, SUITE 210, RALEIGH, NC 27607(919) 782-6700(919) 782-2218 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Lorena Benavides M.d. NPPES

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

DR. LORENA BENAVIDES M.D. (NPI 1053375949) is an individual gynecology provider in Raleigh, North Carolina, licensed in North Carolina (2006-00441) and active in the NPI registry since April 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053375949
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. LORENA BENAVIDESCredential: M.D.
Location Address2304 WESVILL CT, SUITE 210Raleigh, NC 27607-0058
Mailing Address2304 Wesvill Ct, Suite 210Raleigh, NC 27607-0058 · (919) 782-6700 · Fax (919) 782-2218
Phone(919) 782-6700
Fax(919) 782-2218
Sole ProprietorYes
Enumeration DateApril 17, 2006
Last NPPES UpdateAugust 17, 2016
✔ NPI 1053375949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NC · 2006-00441
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2304 WESVILL CT, Raleigh, NC 27607
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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 NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lorena Benavides M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,343 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
15%142 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%855 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%4,333 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%4,333 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%4,333 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
70%4,333 patients
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 20

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

RALEIGH GYNECOLOGY & WELLNESS PA
Obstetrics & Gynecology
2304 WESVILL CT, SUITE 210
RALEIGH, NC 27607
Wake County (919) 782-6700
DR. NISHA THANNIKKARY MANICKAM DO
Internal Medicine (Infectious Disease)
2304 WESVILL CT
RALEIGH, NC 27607
Wake County (919) 235-1802
MR. JOHN ANDREW BULLINGTON JR. RN, ANP
Nurse Practitioner (Adult Health)
2304 WESVILL CT, SUITE 240
RALEIGH, NC 27607
Wake County (919) 235-1802
DR. GLENN M DAVIS MD
Specialist
2304 WESVILL CT, # 360
RALEIGH, NC 27607
Wake County (919) 785-1220
CAROLINA RADIOLOGY PA
Radiology (Diagnostic Radiology)
2304 WESVILL CT, SUITE 110
RALEIGH, NC 27607
Wake County (919) 614-0906
JAY CHRISTOPHER SELLERS M.D.
Internal Medicine (Infectious Disease)
2304 WESVILL CT
RALEIGH, NC 27607
Wake County (919) 235-1802
DR. JEREMY W PYLE M.D.
Plastic Surgery
2304 WESVILL CT, SUITE 360
RALEIGH, NC 27607
Wake County (919) 785-1220
DR. LYNDA R HEYMEN PSYD
Psychologist
2304 WESVILL CT, SUITE 280
RALEIGH, NC 27607
Wake County (919) 786-9799

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 Lorena Benavides's NPI number?

The NPI number for Lorena Benavides is 1053375949. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Lorena Benavides located?

Lorena Benavides practices at 2304 Wesvill Ct Suite 210, Raleigh, NC 27607. The listed phone number is (919) 782-6700.

What is Lorena Benavides's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Lorena Benavides enrolled in Medicare?

No. Lorena Benavides has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Lorena Benavides accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Lorena Benavides 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.

When was this NPI record last updated?

The NPPES record for Lorena Benavides was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.