BENTON LEE BROWN MD
NPI 1144482605
Surgery in Abilene, TX

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
73.1/100
CMS Quality Rating
1680 ANTILLEY RD, STE 110, ABILENE, TX 79606(325) 428-5600(325) 428-5609 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2022, Nov 5, 2021 (2 updates tracked since 2021).

About Benton Lee Brown Md NPPES

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

BENTON LEE BROWN MD (NPI 1144482605) is an individual surgery provider in Abilene, Texas, licensed in Texas (P6788) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2008).

NPPES Registry Identity

NPI1144482605
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENTON LEE BROWNCredential: MD
Location Address1680 ANTILLEY RD, STE 110Abilene, TX 79606-5247
Mailing Address1680 Antilley Rd, Ste 110Abilene, TX 79606-5247 · (325) 428-5600 · Fax (325) 428-5609
Fax(325) 428-5609
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1144482605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · P6788
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.
1680 ANTILLEY RD, Abilene, TX 79606

Other Identifiers 1

Other8DU637TX · Bcbs

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

Benton Lee Brown 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 ID8527200898
PECOS Enrollment IDI20130815000772
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 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
91 services91 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services62 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
21 services21 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.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79606 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

73.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.26
Promoting Interoperability100
Improvement Activities40
Cost47.09

Reported Quality Measures

Cervical Cancer Screening
25%245 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
42%45 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
54%473 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
63%202 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
53%90 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
31%1,153 patients1/55-star benchmark: 100%
HIV Screening
3%616 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%798 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%689 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 51% · 887 patients
Patients screened: 60% · 887 patients
31%121 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
89%339 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%199 patients4/55-star benchmark: 91%
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 10

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1680 ANTILLEY RD, STE. 260
ABILENE, TX 79606
Obstetrics & Gynecology
1680 ANTILLEY RD, #380
ABILENE, TX 79606
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1680 ANTILLEY RD, STE. 260
ABILENE, TX 79606
Specialist/Technologist, Other (Surgical Assistant)
1680 ANTILLEY RD, SUITE 110
ABILENE, TX 79606
Obstetrics & Gynecology
1680 ANTILLEY RD, SUITE 320
ABILENE, TX 79606
Physician Assistant
1680 ANTILLEY RD, STE. 270
ABILENE, TX 79606
Obstetrics & Gynecology
1680 ANTILLEY RD, SUITE 370
ABILENE, TX 79606
Obstetrics & Gynecology
1680 ANTILLEY RD, SUITE 320
ABILENE, TX 79606

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 Benton Brown's NPI number?

The NPI number for Benton Brown is 1144482605. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Benton Brown located?

Benton Brown practices at 1680 Antilley Rd Ste 110, Abilene, TX 79606. The listed phone number is (325) 428-5600.

What is Benton Brown's specialty?

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

Is Benton Brown enrolled in Medicare?

Yes. Benton Brown 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 Benton Brown accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Benton Brown 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 Benton Brown affiliated with any hospitals?

According to CMS data, Benton Brown is affiliated with Hendrick Medical Center and Hendrick Medical Center Brownwood.

When was this NPI record last updated?

The NPPES record for Benton Brown was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.