TROY NATHANIEL BENSON M.D.
NPI 1194010041
Family Medicine in Waseca, MN

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
501 STATE ST N, WASECA, MN 56093(507) 835-1210 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Jan 18, 2017 (2 updates tracked since 2017).

About Troy Nathaniel Benson M.d. NPPES

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

TROY NATHANIEL BENSON M.D. (NPI 1194010041) is an individual family medicine provider in Waseca, Minnesota, licensed in Minnesota (56142) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1194010041
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTROY NATHANIEL BENSONCredential: M.D.
Location Address501 STATE ST NWaseca, MN 56093-2811
Mailing Address501 State St NWaseca, MN 56093-2811
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011
Enumeration DateJune 17, 2011
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
NPI 1194010041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 56142
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 STATE ST N, Waseca, MN 56093

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

Troy Nathaniel Benson M.d. 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 ID9739328485
PECOS Enrollment IDI20140604001555
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 2

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.

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.
19 services19 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
16 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System - Waseca

Critical Access Hospitals · Waseca, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241345
Location501 North State StreetWaseca, MN 56093 · Waseca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56093 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers30 claims102 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims12 services$1.13 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims869 services$1.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers33 claims33 services$208.74 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$20.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
501 STATE ST N
WASECA, MN 56093
Family Medicine
501 STATE ST N
WASECA, MN 56093
Physical Therapist
501 STATE ST N
WASECA, MN 56093
Physical Therapist
501 STATE ST N
WASECA, MN 56093
Pharmacist
501 STATE ST N
WASECA, MN 56093
Nurse Practitioner (Family)
501 STATE ST N
WASECA, MN 56093
Nurse Practitioner (Family)
501 STATE ST N
WASECA, MN 56093
Nurse Practitioner (Family)
501 STATE ST N
WASECA, MN 56093

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 Troy Benson's NPI number?

The NPI number for Troy Benson is 1194010041. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Troy Benson located?

Troy Benson practices at 501 State St N, Waseca, MN 56093. The listed phone number is (507) 835-1210.

What is Troy Benson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Troy Benson enrolled in Medicare?

Yes. Troy Benson 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 Troy Benson accept?

Health plans from Medica and Sanford Health Plan list Troy Benson 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 Troy Benson affiliated with any hospitals?

According to CMS data, Troy Benson is affiliated with Mayo Clinic Hospital Rochester, Mayo Clinic Health System - Mankato and Mayo Clinic Health System - Waseca.

When was this NPI record last updated?

The NPPES record for Troy Benson was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.