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MEGAN BENEDICT D.O.
NPI 1093151177
Internal Medicine - Critical Care Medicine in Panama City, FL

Active since May 16, 2013PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
801 E 6TH ST STE 203, PANAMA CITY, FL 32401(850) 804-2235(850) 804-2236 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Aug 30, 2019 (2 updates tracked since 2019).

About Megan Benedict D.o. NPPES

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

MEGAN BENEDICT D.O. (NPI 1093151177) is an individual critical care medicine provider in Panama City, Florida, licensed in Florida (OS17886) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1093151177
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameMEGAN BENEDICTCredential: D.O.
Location Address801 E 6TH ST STE 203Panama City, FL 32401-3663
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Phone(850) 804-2235
Fax(850) 804-2236
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateMay 16, 2013
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1093151177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · OS17886
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
801 E 6TH ST STE 203, Panama City, FL 32401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Molina Healthcare and more.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

Megan Benedict D.o. 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 ID8921337056
PECOS Enrollment IDI20210715002584
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

3

Medicare enrollment records show Megan Benedict reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Heart Hospital Of Pensacola
96 mi
Adult Care Home
4451 BAYOU BLVD
Pensacola, FL 32503
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Sacred Heart Health System Inc
  • 446 clinicians in this Medicare group
NPI 1952352304 (850) 475-4500
Bronson Methodist Hospital
836 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Bronson Battle Creek Hospital
842 mi
Internal Medicine
300 NORTH AVE
Battle Creek, MI 49017
  • Reassigned Medicare billing, Michigan enrollment
  • 557 clinicians in this Medicare group
NPI 1093119638 (269) 245-8000

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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
320 services116 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.
34 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100313
Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$97.68 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

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

NADINE SUE PEARISH ARNP
Nurse Practitioner (Adult Health)
801 E 6TH ST STE 203
PANAMA CITY, FL 32401
Bay County (850) 804-2235

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 Megan Benedict's NPI number?

The NPI number for Megan Benedict is 1093151177. It was assigned to this individual provider in the NPPES registry on May 16, 2013.

Where is Megan Benedict located?

Megan Benedict practices at 801 E 6th St Ste 203, Panama City, FL 32401. The listed phone number is (850) 804-2235.

What is Megan Benedict's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Megan Benedict enrolled in Medicare?

Yes. Megan Benedict 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 Megan Benedict's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Benedict reassigns Medicare benefits to 3 organizations: Sacred Heart Hospital Of Pensacola (Pensacola, FL), Bronson Methodist Hospital (Kalamazoo, MI) and Bronson Battle Creek Hospital (Battle Creek, MI). 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 Megan Benedict's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Benedict accept?

Health plans from Ambetter Health, Ambetter of Alabama, Molina Healthcare and Oscar Health Maintenance Organization of Florida list Megan Benedict 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 Megan Benedict affiliated with any hospitals?

According to CMS data, Megan Benedict is affiliated with Sacred Heart Hospital, Ascension Sacred Heart Bay, Sacred Heart Hospital On The Emerald Coast and Ascension Sacred Heart Gulf.

When was this NPI record last updated?

The NPPES record for Megan Benedict was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.