PAUL L. BENN M.D.
NPI 1093746976
Surgery in Edina, MN

Q: What is Paul Benn's NPI number?

The NPI number for Paul Benn is 1093746976. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Paul Benn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Benn was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 06, 2006PECOS Enrolled

81.72/100

CMS Quality Rating

6405 FRANCE AVE S, SUITE W440, EDINA, MN 55435(952) 927-7004(952) 927-5146 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Paul L. Benn M.d. NPPES

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

PAUL L. BENN M.D. (NPI 1093746976) is an individual surgery provider in Edina, Minnesota, licensed in Minnesota (27804) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093746976

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NamePAUL L. BENNCredential: M.D.

Location Address6405 FRANCE AVE S, SUITE W440Edina, MN 55435-2163

Mailing Address6405 France Ave S, Suite W440Edina, MN 55435-2163 · (952) 927-7004 · Fax (952) 927-5146

Phone(952) 927-7004

Fax(952) 927-5146

Sole ProprietorNo

Enumeration DateJuly 6, 2006

Last NPPES UpdateApril 11, 2017

✔ NPI 1093746976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MN · 27804

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

6405 FRANCE AVE S, Edina, MN 55435

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Other Identifiers 1

Medicare UPINA95179MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford 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 (PECOS)

Paul L. Benn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Paul Benn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care

Same address

Surgery

6405 FRANCE AVE S, SUITE W440
Edina, MN 55435

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1235395864 (952) 927-7004

Fairview Health Services

0.1 mi

General Acute Care Hospital

6401 FRANCE AVE S
Edina, MN 55435

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1699752915 (952) 924-5000

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

13 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

81.72/100

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

Scored as part of a group practice

Quality

69.86

Promoting Interoperability

100

Improvement Activities

Cost

59.73

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.

ALYSSA HAYNES

Registered Nurse

6405 FRANCE AVE S
EDINA, MN 55435

Hennepin County (952) 920-2730

JENNIFER B GALANG NP

Nurse Practitioner (Adult Health)

6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435

Hennepin County (952) 924-9005

SUZANNE GAYLE WEINBERGER RN, CNP

Nurse Practitioner (Women's Health)

6405 FRANCE AVE S, SUITE W400
EDINA, MN 55435

Hennepin County (952) 920-2730

CHARLES P. NICHOLSON M.D.

Surgery (Vascular Surgery)

6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435

Hennepin County (952) 927-7004

GREGORY HELMER M.D.

Internal Medicine (Interventional Cardiology)

6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435

Hennepin County (952) 924-9005

MINNESOTA VASCULAR CLINIC, PLLC

Surgery (Vascular Surgery)

6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435

Hennepin County (952) 927-7004

SHARI MADSON NP

Nurse Practitioner (Adult Health)

6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435

Hennepin County (952) 924-9005

GEORGE J. NEMANICH M.D.

Surgery

6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435

Hennepin County (952) 927-7004

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 Paul Benn's NPI number?

The NPI number for Paul Benn is 1093746976. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Paul Benn located?

Paul Benn practices at 6405 France Ave S Suite W440, Edina, MN 55435. The listed phone number is (952) 927-7004.

What is Paul Benn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Benn enrolled in Medicare?

Yes. Paul Benn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Benn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Benn reassigns Medicare benefits to 2 organizations: Fairview Express Care (Edina, MN) and Fairview Health Services (Edina, MN). 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 Paul Benn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Benn accept?

Health plans from HealthPartners and Sanford Health Plan list Paul Benn 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 Paul Benn was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.