MICHAEL ANTHONY BENAVIDEZ D.O.
NPI 1205987914
Family Medicine in Upland, CA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
984 W FOOTHILL BLVD, UPLAND, CA 91786(909) 373-8222(909) 373-8226 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Anthony Benavidez D.o. NPPES

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

MICHAEL ANTHONY BENAVIDEZ D.O. (NPI 1205987914) is an individual family medicine provider in Upland, California, licensed in California (20A6396) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1992).

NPPES Registry Identity

NPI1205987914
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL ANTHONY BENAVIDEZCredential: D.O.
Location Address984 W FOOTHILL BLVDUpland, CA 91786-3700
Mailing Address984 West Foothill BoulevardUpland, CA 91786 · (909) 373-8222 · Fax (909) 373-8226
Fax(909) 373-8226
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1992
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205987914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A6396
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.
984 W FOOTHILL BLVD, Upland, CA 91786

Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ28742ZCA
Medicaid00AX63960CA
Medicare UPING68283CA

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

Michael Anthony Benavidez D.o. 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 ID8527058759
PECOS Enrollment IDI20040521001214
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 6

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.
189 services90 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.
111 services67 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
42 services42 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
39 services39 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
19 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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
9 suppliers25 claims53 services$4.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims14 services$0.97 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 8

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

Podiatrist (Foot & Ankle Surgery)
984 W FOOTHILL BLVD, SUITE B
UPLAND, CA 91786
Family Medicine
984 W FOOTHILL BLVD
UPLAND, CA 91786
Physical Medicine & Rehabilitation
984 W FOOTHILL BLVD
UPLAND, CA 91786
Physician Assistant (Medical)
984 W FOOTHILL BLVD
UPLAND, CA 91786
Podiatrist (Primary Podiatric Medicine)
984 W FOOTHILL BLVD
UPLAND, CA 91786
Physical Medicine & Rehabilitation
984 W FOOTHILL BLVD
UPLAND, CA 91786
Podiatrist (Foot & Ankle Surgery)
984 W FOOTHILL BLVD, SUITE B
UPLAND, CA 91786
Non-Pharmacy Dispensing Site
984 W FOOTHILL BLVD, SUITE B
UPLAND, CA 91786

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 Michael Benavidez's NPI number?

The NPI number for Michael Benavidez is 1205987914. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Michael Benavidez located?

Michael Benavidez practices at 984 W Foothill Blvd, Upland, CA 91786. The listed phone number is (909) 373-8222.

What is Michael Benavidez's specialty?

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

Is Michael Benavidez enrolled in Medicare?

Yes. Michael Benavidez 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.

When was this NPI record last updated?

The NPPES record for Michael Benavidez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.