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DR. THEODORE VAL BENDEREV M.D.
NPI 1124045935
Urology in Mission Viejo, CA

Active since July 16, 2006PECOS Enrolled
26800 CROWN VALLEY PKWY STE 475, MISSION VIEJO, CA 92691(888) 827-3286(949) 364-2829 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Theodore Val Benderev M.d. NPPES

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

DR. THEODORE VAL BENDEREV M.D. (NPI 1124045935) is an individual urology provider in Mission Viejo, California, licensed in California (G43662) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124045935
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. THEODORE VAL BENDEREVCredential: M.D.
Location Address26800 CROWN VALLEY PKWY STE 475Mission Viejo, CA 92691-8027
Mailing Address28432 Via MambrinoSan Juan Capistrano, CA 92675-3346 · (949) 584-7505
Phone(888) 827-3286
Fax(949) 364-2829
Sole ProprietorNo
Enumeration DateJuly 16, 2006
Last NPPES UpdateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1124045935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · G43662
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
26800 CROWN VALLEY PKWY STE 475, Mission Viejo, CA 92691
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Val Benderev 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 Reassignment

Medicare enrollment records show Theodore Benderev reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Incontinence And Pelvic Support Institute
Same address
Urology
26800 CROWN VALLEY PKWY STE 475
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1619054962 (888) 827-3286

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%80 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
89%251 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%380 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
25%380 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

VASECTOMY INSTITUTE OF CALIFORNIA A MEDICAL CORPORATION
Urology
26800 CROWN VALLEY PKWY STE 475
MISSION VIEJO, CA 92691
Orange County (949) 584-7505
MILANES MD MEDICAL CORP
Family Medicine
26800 CROWN VALLEY PKWY STE 475
MISSION VIEJO, CA 92691
Orange County (949) 522-5081
INCONTINENCE AND PELVIC SUPPORT INSTITUTE
Urology
26800 CROWN VALLEY PKWY STE 475
MISSION VIEJO, CA 92691
Orange County (888) 827-3286
DR. ROBERT MICHAEL MILANES M.D.
Family Medicine
26800 CROWN VALLEY PKWY STE 475
MISSION VIEJO, CA 92691
Orange County (949) 522-5081
BRITTANY ABELSON FNP
Nurse Practitioner (Family)
26800 CROWN VALLEY PKWY STE 475
MISSION VIEJO, CA 92691
Orange County (949) 522-5081

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 Theodore Benderev's NPI number?

The NPI number for Theodore Benderev is 1124045935. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Theodore Benderev located?

Theodore Benderev practices at 26800 Crown Valley Pkwy Ste 475, Mission Viejo, CA 92691. The listed phone number is (888) 827-3286.

What is Theodore Benderev's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Theodore Benderev enrolled in Medicare?

Yes. Theodore Benderev is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Benderev's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Benderev reassigns Medicare benefits to Incontinence And Pelvic Support Institute (Mission Viejo, CA). 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 Theodore Benderev's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Benderev was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.