PHILIP J. BENYO MD
NPI 1184622391
Internal Medicine - Geriatric Medicine in Sugarloaf, PA
About Philip J. Benyo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP J. BENYO MD (NPI 1184622391) is an individual geriatric medicine provider in Sugarloaf, Pennsylvania, licensed in Pennsylvania (MD022634E) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 11
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
Philip J. Benyo 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 Reassignments
2Medicare enrollment records show Philip Benyo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sugarloaf, PA 18249
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Hazleton, PA 18201
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Hazleton Professional Services
- 305 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.
Areas of Expertise CMS Part B claims 31
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Medical Center
Acute Care Hospitals · Danville, PASchuylkill Medical Center - South Jackson Street
Acute Care Hospitals · Pottsville, PALehigh Valley Hospital
Acute Care Hospitals · Allentown, PALehigh Valley Hospital - Hazleton
Acute Care Hospitals · Hazleton, PAGeisinger Wyoming Valley Medical Center
Acute Care Hospitals · Wilkes Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18249 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 54
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Philip Benyo's NPI number?
The NPI number for Philip Benyo is 1184622391. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Philip Benyo located?
Philip Benyo practices at 642 State Route 93 Hwy, Sugarloaf, PA 18249. The listed phone number is (570) 788-6363.
What is Philip Benyo's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Philip Benyo enrolled in Medicare?
Yes. Philip Benyo 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 organizations bill Medicare for Philip Benyo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Benyo reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Sugarloaf, PA) and Lehigh Valley Physician Group (Hazleton, PA). Each 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 Philip Benyo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Philip Benyo affiliated with any hospitals?
According to CMS data, Philip Benyo is affiliated with Geisinger Medical Center, Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Philip Benyo was last updated on January 13, 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.