ETHAN MICHAEL BENNING MD
NPI 1104168582
Surgery in Rio Rancho, NM
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
Specialties & Licenses 2
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Benning reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NMPhysician 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.
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.
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.
RIO RANCHO, NM 87144
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.
Which organization bills Medicare for Ethan Benning's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Benning reassigns Medicare benefits to Unm Medical Group Inc (Albuquerque, NM). The 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 Ethan Benning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Ethan Michael Benning, MD · NPI 1104168582
Surgery physician in Rio Rancho, New Mexico. Individual provider, active in the CMS NPPES registry since March 22, 2013.
## Identity
- **NPI:** 1104168582 (Entity type: Individual)
- **Enumerated:** March 22, 2013
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD2019-0664 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3001 BROADMOOR BLVD NE, Rio Rancho, NM 87144
- **Phone:** (505) 994-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104168582) · Data from the CMS NPPES public registry.