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JENSE BENJAMIN M.D., M.S., FRCS
NPI 1205943263
Family Medicine in Forney, TX

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
207 S FM 548 STE A, FORNEY, TX 75126(469) 327-2400(214) 975-1969 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jense Benjamin M.d., M.s., Frcs NPPES

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

JENSE BENJAMIN M.D., M.S., FRCS (NPI 1205943263) is an individual family medicine provider in Forney, Texas, licensed in Texas (L2800) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1205943263
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJENSE BENJAMINCredential: M.D., M.S., FRCS
Location Address207 S FM 548 STE AForney, TX 75126-4107
Mailing Address207 S Fm 548 Ste AForney, TX 75126-4107 · (469) 327-2400 · Fax (214) 975-1969
Phone(469) 327-2400
Fax(214) 975-1969
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 24, 2006
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1205943263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L2800
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.
207 S FM 548 STE A, Forney, TX 75126
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Other Names 1

Other Name (5)Jense Benjamin M.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Jense Benjamin M.d., M.s., Frcs 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 ID6103809900
PECOS Enrollment IDI20040611000854
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 Jense Benjamin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primum Medical-PLLC
Same address
Family Medicine
207 S FM 548 STE A
Forney, TX 75126
  • Reassigned Medicare billing, Texas enrollment
NPI 1689466880 (945) 536-9444

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 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 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.
36 services26 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.
22 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75126 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

PRIMUM MEDICAL-PLLC
Family Medicine
207 S FM 548 STE A
FORNEY, TX 75126
Kaufman County (945) 536-9444

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 Jense Benjamin's NPI number?

The NPI number for Jense Benjamin is 1205943263. It was assigned to this individual provider in the NPPES registry on August 24, 2006. The provider is also known as Jense Benjamin M.D.

Where is Jense Benjamin located?

Jense Benjamin practices at 207 S Fm 548 Ste A, Forney, TX 75126. The listed phone number is (469) 327-2400.

What is Jense Benjamin's specialty?

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

Is Jense Benjamin enrolled in Medicare?

Yes. Jense Benjamin 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 organization bills Medicare for Jense Benjamin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jense Benjamin reassigns Medicare benefits to Primum Medical-PLLC (Forney, TX). 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 Jense Benjamin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jense Benjamin accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jense Benjamin 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.

When was this NPI record last updated?

The NPPES record for Jense Benjamin was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.