DR. BENEDICTO CORTES BARONIA M.D.
NPI 1053516310
Neurological Surgery in Lubbock, TX

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3502 9TH ST STE 430, LUBBOCK, TX 79415(806) 761-0535(806) 761-0534 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2024, Jul 8, 2024, Aug 29, 2022 and 7 more (10 updates tracked since 2018).

About Dr. Benedicto Cortes Baronia M.d. NPPES

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

DR. BENEDICTO CORTES BARONIA M.D. (NPI 1053516310) is an individual neurological surgery provider in Lubbock, Texas, licensed in Texas (48359) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Carlsbad Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1053516310
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. BENEDICTO CORTES BARONIACredential: M.D.
Location Address3502 9TH ST STE 430Lubbock, TX 79415-3368
Mailing Address5219 City Bank Pkwy Ste 35Lubbock, TX 79407-3545 · (806) 761-0334 · Fax (806) 785-0872
Fax(806) 761-0534
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 18, 2007
Last NPPES UpdateAugust 15, 202410 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1053516310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in TX · 48359 Licensed in TX · 47652
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

3502 9TH ST STE 430, Lubbock, TX 79415

Other Identifiers 1

Medicaid324777703TX

Accepted Insurance

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

Dr. Benedicto Cortes Baronia M.d. 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 ID2466538020
PECOS Enrollment IDI20130927000207
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

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.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Carlsbad Medical Center

Acute Care Hospitals · Carlsbad, NM
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number320063
Location2430 West Pierce StreetCarlsbad, NM 88220 · Eddy County
Emergency services Birthing friendly

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79415 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Physician Assistant
3502 9TH ST STE 430
LUBBOCK, TX 79415
Neurological Surgery
3502 9TH ST STE 430
LUBBOCK, TX 79415
Nurse Practitioner (Family)
3502 9TH ST STE 430
LUBBOCK, TX 79415
Nurse Practitioner (Family)
3502 9TH ST STE 430
LUBBOCK, TX 79415
Nurse Practitioner
3502 9TH ST STE 430
LUBBOCK, TX 79415

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 Benedicto Baronia's NPI number?

The NPI number for Benedicto Baronia is 1053516310. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Benedicto Baronia located?

Benedicto Baronia practices at 3502 9th St Ste 430, Lubbock, TX 79415. The listed phone number is (806) 761-0535.

What is Benedicto Baronia's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Benedicto Baronia enrolled in Medicare?

Yes. Benedicto Baronia 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.

What insurance does Benedicto Baronia accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and WellPoint list Benedicto Baronia 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 Benedicto Baronia affiliated with any hospitals?

According to CMS data, Benedicto Baronia is affiliated with Carlsbad Medical Center and University Medical Center.

When was this NPI record last updated?

The NPPES record for Benedicto Baronia was last updated on August 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.