JOHN W BENSON MD
NPI 1205816287
Family Medicine in Mankato, MN

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
1421 PREMIERE DR, MANKATO CLINIC AT WICKERSHAM, MANKATO, MN 56001(507) 625-1811 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About John W Benson Md NPPES

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

JOHN W BENSON MD (NPI 1205816287) is an individual family medicine provider in Mankato, Minnesota, licensed in Minnesota (40637) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of University Of Minnesota Medical School (1993).

NPPES Registry Identity

NPI1205816287
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN W BENSONCredential: MD
Location Address1421 PREMIERE DR, MANKATO CLINIC AT WICKERSHAMMankato, MN 56001-6076
Mailing Address1230 E Main St, Po Box 8674Mankato, MN 56001-5066 · (507) 625-1811
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1993
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1205816287 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 · 40637
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.
1421 PREMIERE DR, Mankato, MN 56001

Other Identifiers 10

Medicaid0511147IA
Other08028065Rr Medicare
OtherHP26511MN · Health Partners
Other101044MN · Ucare
Other29B64BEMN · Bcbs
Other0102892MN · Medica
Medicaid829525500MN
Other895654MN · Americas Ppo
OtherNA2951023816MN · Preferred One
Other41084933956001C120Champus

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

John W Benson 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 ID4587576905
PECOS Enrollment IDI20091119000613
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 56

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,227 services233 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,138 services561 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
800 services466 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
431 services332 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.
394 services216 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
258 services140 patients

Hospital Affiliations CMS Care Compare 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
8 suppliers25 claims105 services$6.23 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers15 claims35 services$6.26 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.32 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
1 supplier12 claims960 services$7.25 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
2 suppliers18 claims18 services$183.05 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 3

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

Urology
1421 PREMIERE DR, MANKATO CLINIC@ WICKERSHAM CAMPUS
MANKATO, MN 56001
Podiatrist
1421 PREMIERE DR, MANKATO CLINIC @ WICKERSHAM CAMPUS
MANKATO, MN 56001
Urology
1421 PREMIERE DR, MANKATO CLINIC AT WICKERSHAM CAMPUS
MANKATO, MN 56001

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 John Benson's NPI number?

The NPI number for John Benson is 1205816287. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is John Benson located?

John Benson practices at 1421 Premiere Dr Mankato Clinic At Wickersham, Mankato, MN 56001. The listed phone number is (507) 625-1811.

What is John Benson's specialty?

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

Is John Benson enrolled in Medicare?

Yes. John 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 John Benson accept?

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

According to CMS data, John Benson is affiliated with Abbott Northwestern Hospital and Mayo Clinic Health System - Mankato.

When was this NPI record last updated?

The NPPES record for John Benson was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.