DR. BENJAMIN T AGANA JR. MD
NPI 1063455111
Physical Medicine & Rehabilitation in Shenandoah, TX

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
49.51/100
CMS Quality Rating
9200 PINECROFT DR, STE.# 360, SHENANDOAH, TX 77380(281) 419-3366(281) 419-2233 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Benjamin T Agana Jr. Md NPPES

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

DR. BENJAMIN T AGANA JR. MD (NPI 1063455111) is an individual physical medicine & rehabilitation provider in Shenandoah, Texas, licensed in Texas (J4680) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Rush Medical College Of Rush University (1991).

NPPES Registry Identity

NPI1063455111
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. BENJAMIN T AGANA JR.Credential: MD
Location Address9200 PINECROFT DR, STE.# 360Shenandoah, TX 77380-3279
Mailing AddressPo Box 690687Houston, TX 77269 · (781) 586-4100 · Fax (781) 580-7083
Fax(281) 419-2233
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1991
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 4, 2016
NPI 1063455111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in TX · J4680
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
9200 PINECROFT DR, Shenandoah, TX 77380

Other Identifiers 5

Medicare UPIN752730853
Medicaid096845503TX
Medicare ID-Type Unspecified8A1661TX
Other8A2610TX · Bcbs
Other250012118TX · Medicare Railroad

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. Benjamin T Agana Jr. 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 ID2466437074
PECOS Enrollment IDI20040618001220
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 11

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.

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.
7,044 services781 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,319 services664 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
759 services77 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.
683 services591 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
533 services465 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
301 services273 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670075
Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County
Emergency services

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

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.

49.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.07
Improvement Activities0
Cost53.61

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers58 claims58 services$41.18 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
4 suppliers17 claims17 services$7.22 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers39 claims39 services$46.12 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
2 suppliers68 claims68 services$8.85 avg. paid by Medicare
Dry pressure mattress E0184
DME-Other DME · category DE000N
1 supplier14 claims14 services$132.24 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers41 claims41 services$40.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery
9200 PINECROFT DR, SUITE 250
SHENANDOAH, TX 77380
Clinic/Center (Medical Specialty)
9200 PINECROFT DR, SUITE 460
SHENANDOAH, TX 77380
Surgery
9200 PINECROFT DR, STE 255
SHENANDOAH, TX 77380
Surgery
9200 PINECROFT DR, SUITE 255
SHENANDOAH, TX 77380
Surgery
9200 PINECROFT DR, SUITE 250
SHENANDOAH, TX 77380
Physician Assistant (Surgical)
9200 PINECROFT DR, SUITE 460
SHENANDOAH, TX 77380
Nurse Practitioner
9200 PINECROFT DR
SHENANDOAH, TX 77380
Clinic/Center (Medical Specialty)
9200 PINECROFT DR, SUITE 350
THE WOODLANDS, TX 77380

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 Benjamin Agana's NPI number?

The NPI number for Benjamin Agana is 1063455111. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Benjamin Agana located?

Benjamin Agana practices at 9200 Pinecroft Dr Ste.# 360, Shenandoah, TX 77380. The listed phone number is (281) 419-3366.

What is Benjamin Agana's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Benjamin Agana enrolled in Medicare?

Yes. Benjamin Agana 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 Benjamin Agana accept?

Health plans from Blue Cross and Blue Shield of Texas list Benjamin Agana 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 Benjamin Agana affiliated with any hospitals?

According to CMS data, Benjamin Agana is affiliated with Memorial Hermann Hospital System, Hca Houston Healthcare Kingwood, Houston Methodist Willowbrook Hospital, St Luke's Hospital At The Vintage and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Agana was last updated on April 4, 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.