ALAN L BENEDICT M.D.
NPI 1154383438
Ophthalmology in Marietta, GA

Active since April 04, 2006PECOS Enrolled
92.93/100
CMS Quality Rating
653 CHEROKEE ST NE, MARIETTA, GA 30060(770) 419-1393(770) 419-8188 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Alan L Benedict M.d. NPPES

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

ALAN L BENEDICT M.D. (NPI 1154383438) is an individual ophthalmology provider in Marietta, Georgia, licensed in Georgia (035371) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154383438
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameALAN L BENEDICTCredential: M.D.
Location Address653 CHEROKEE ST NEMarietta, GA 30060-8911
Mailing Address653 Cherokee St NeMarietta, GA 30060-8911 · (770) 419-1393 · Fax (770) 419-8188
Fax(770) 419-8188
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1154383438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 035371
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
653 CHEROKEE ST NE, Marietta, GA 30060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alan L Benedict 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 Alan Benedict reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
653 CHEROKEE ST NE
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 6 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%99 patients5/55-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.

Ophthalmology
653 CHEROKEE ST NE
MARIETTA, GA 30060
Ophthalmology
653 CHEROKEE ST NE
MARIETTA, GA 30060
Ophthalmology
653 CHEROKEE ST NE
MARIETTA, GA 30060
Specialist
653 CHEROKEE ST NE
MARIETTA, GA 30060
Ophthalmology
653 CHEROKEE ST NE
MARIETTA, GA 30060

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 Alan Benedict's NPI number?

The NPI number for Alan Benedict is 1154383438. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Alan Benedict located?

Alan Benedict practices at 653 Cherokee St NE, Marietta, GA 30060. The listed phone number is (770) 419-1393.

What is Alan Benedict's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alan Benedict enrolled in Medicare?

Yes. Alan Benedict is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alan Benedict's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Benedict reassigns Medicare benefits to Georgia Eye Specialists (Marietta, GA). 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 Alan Benedict'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 Alan Benedict was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.