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

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 09, 2026.

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 and is a graduate of University Of Chicago, Pritzker School Of Medicine (1981).

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
Fax(952) 927-5146
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1981
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

Other Identifiers 1

Medicare UPINA95179MN

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

Paul L. Benn 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 ID941295125
PECOS Enrollment IDI20050621000108
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 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
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Registered Nurse
6405 FRANCE AVE S
EDINA, MN 55435
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Nurse Practitioner (Women's Health)
6405 FRANCE AVE S, SUITE W400
EDINA, MN 55435
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Internal Medicine (Interventional Cardiology)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Surgery
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Benn accept?

Health plans from Medica 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.