ETHAN MICHAEL BENNING MD
NPI 1104168582
Surgery in Rio Rancho, NM

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144(505) 994-7000 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2025, Jul 10, 2023, Aug 22, 2019 and 1 more (4 updates tracked since 2018).

About Ethan Michael Benning Md NPPES

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

ETHAN MICHAEL BENNING MD (NPI 1104168582) is an individual surgery provider in Rio Rancho, New Mexico, licensed in New Mexico (MD2019-0664) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104168582
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameETHAN MICHAEL BENNINGCredential: MD
Location Address3001 BROADMOOR BLVD NERio Rancho, NM 87144
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 22, 2013
Last NPPES UpdateJanuary 3, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1104168582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in NM · MD2019-0664 Licensed in WV · 27993
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.

3001 BROADMOOR BLVD NE, Rio Rancho, NM 87144

Secondary Practice Locations 2

Location 12040 W Charleston Blvd Ste 302Las Vegas, NV 89102-2230 · Phone (702) 671-2273
Location 21100 Fort Pierpont Dr Ste 101Morgantown, WV 26508-1329 · Phone (304) 241-1100

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

Ethan Michael Benning 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 ID244454171
PECOS Enrollment IDI20191106001447
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.

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87144 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Nurse Anesthetist, Certified Registered
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Registered Nurse (Medical-Surgical)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Nurse Practitioner (Family)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Anesthesiology
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Physician Assistant
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Family Medicine
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Counselor (Professional)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Internal Medicine
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144

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 Ethan Benning's NPI number?

The NPI number for Ethan Benning is 1104168582. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Ethan Benning located?

Ethan Benning practices at 3001 Broadmoor Blvd NE, Rio Rancho, NM 87144. The listed phone number is (505) 994-7000.

What is Ethan Benning's specialty?

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

Is Ethan Benning enrolled in Medicare?

Yes. Ethan Benning 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 Ethan Benning accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Ethan Benning 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 Ethan Benning affiliated with any hospitals?

According to CMS data, Ethan Benning is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Benning was last updated on January 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.