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DR. ANTOINETTE R BENTON MD
NPI 1215943923
Family Medicine in Albuquerque, NM

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
UNM FAMILY MEDICINE CTR, 2400 TUCKER NE, ALBUQUERQUE, NM 87131(505) 272-1734(505) 272-1736 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 3, 2025, Nov 17, 2023 (2 updates tracked since 2023).

About Dr. Antoinette R Benton Md NPPES

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

DR. ANTOINETTE R BENTON MD (NPI 1215943923) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (98-91) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1215943923
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTOINETTE R BENTONCredential: MD
Location AddressUNM FAMILY MEDICINE CTR, 2400 TUCKER NEAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 272-1734
Fax(505) 272-1736
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 1, 2006
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
✔ NPI 1215943923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 98-91
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.
UNM FAMILY MEDICINE CTR, Albuquerque, NM 87131
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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

Dr. Antoinette R Benton 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 ID3274629480
PECOS Enrollment IDI20071019000152
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.

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims330 services$4.49 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims3,316 services$0.32 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$40.16 avg. paid by Medicare
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes K0739
DME-Other DME · category DE000N
3 suppliers12 claims59 services$13.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Antoinette Benton's NPI number?

The NPI number for Antoinette Benton is 1215943923. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Antoinette Benton located?

Antoinette Benton practices at Unm Family Medicine Ctr 2400 Tucker NE, Albuquerque, NM 87131. The listed phone number is (505) 272-1734.

What is Antoinette Benton's specialty?

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

Is Antoinette Benton enrolled in Medicare?

Yes. Antoinette Benton 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.

Is Antoinette Benton affiliated with any hospitals?

According to CMS data, Antoinette Benton is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Antoinette Benton was last updated on January 3, 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.