DR. EVAN CHARLES BENNER DO
NPI 1225532716
Radiology - Diagnostic Radiology in Waukesha, WI

Q: What is Evan Benner's NPI number?

The NPI number for Evan Benner is 1225532716. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Evan Benner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Evan Benner was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment

W231N1440 CORPORATE CT, WAUKESHA, WI 53186(262) 896-6000 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2024, Jun 14, 2023, Mar 20, 2018 (3 updates tracked since 2018).

On this page

About Dr. Evan Charles Benner Do NPPES

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

DR. EVAN CHARLES BENNER DO (NPI 1225532716) is an individual diagnostic radiology provider in Waukesha, Wisconsin, licensed in Wisconsin (74994-21) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and maintains a secondary practice location in Middleton.

NPPES Registry Identity

NPI1225532716

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. EVAN CHARLES BENNERCredential: DO

Location AddressW231N1440 CORPORATE CTWaukesha, WI 53186-1303

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(262) 896-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 20, 2018

Last NPPES UpdateOctober 18, 20243 updates tracked since enumeration

NPPES CertifiedOctober 18, 2024

✔ NPI 1225532716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in WI · 74994-21

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

W231N1440 CORPORATE CT, Waukesha, WI 53186

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Secondary Practice Location 1

Location 17710 Terrace Ave Apt 502Middleton, WI 53562-3313 · Phone (414) 671-9836

Other Identifiers 1

Medicaid100237346WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Group Health Cooperative-SCW.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

Dr. Evan Charles Benner Do 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 ID8820454762

PECOS Enrollment IDI20230518000827

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 Reassignments

Medicare enrollment records show Evan Benner reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.

10 mi

Obstetrics & Gynecology

8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1457592735 (414) 328-8650

Aurora Advanced Healthcare, Inc.

15 mi

Family Medicine

3003 W GOOD HOPE RD
Milwaukee, WI 53209

Reassigned Medicare billing, Wisconsin enrollment
1,615 clinicians in this Medicare group

NPI 1265629133 (414) 352-3100

Lakeshore Medical Clinic, LLC

18 mi

Family Medicine

2000 E LAYTON AVE STE 100
Saint Francis, WI 53235

Reassigned Medicare billing, Wisconsin enrollment
960 clinicians in this Medicare group

NPI 1003861188 (414) 744-6589

Fort Healthcare, Inc.

32 mi

General Acute Care Hospital

611 SHERMAN AVE E
Fort Atkinson, WI 53538

Reassigned Medicare billing, Wisconsin enrollment
298 clinicians in this Medicare group

NPI 1811916281 (920) 568-5000

Group Health Cooperative Of South Central Wisconsin

66 mi

Health Maintenance Organization

1265 JOHN Q HAMMONS DR
Madison, WI 53717

Reassigned Medicare billing, Wisconsin enrollment
422 clinicians in this Medicare group

NPI 1245260165 (608) 251-4156

Richland Hospital

94 mi

Rural Health

150 E JEFFERSON ST
Spring Green, WI 53588

Reassigned Medicare billing, Wisconsin enrollment
168 clinicians in this Medicare group

NPI 1952094138 (608) 588-7413

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 15

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

78 services75 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

71 services71 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

71 services71 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

61 services61 patients

Screening 3d breast mammography 77063

55 services55 patients

Screening mammography 77067

55 services55 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

38 services38 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

35 services35 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

33 services32 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

31 services31 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

15 services15 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

15 services15 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

14 services14 patients

X-ray of chest, 2 views 71046

12 services12 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520035

Location3400 Union AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520139

Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County

Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520189

Location10400 75th StKenosha, WI 53142 · Kenosha County

Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 20

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

RENELLE L STAUS NP

Nurse Practitioner

W231N1440 CORPORATE CT
WAUKESHA, WI 53186

Waukesha County (262) 896-6000

DR. MARC A BURRELL M.D.

Radiology (Vascular & Interventional Radiology)

W231N1440 CORPORATE CT
WAUKESHA, WI 53186

Waukesha County (262) 896-6000

DIGESTIVE DISEASE SPECIALISTS OF WI

Specialist

W231N1440 CORPORATE CT, SUITE 307
WAUKESHA, WI 53186

Waukesha County (262) 896-6400

YASMIN K BHATHENA MD

Pediatrics

W231N1440 CORPORATE CT
WAUKESHA, WI 53186

Waukesha County (262) 896-6000

DR. LUCELINA BADURA NP-C

Nurse Practitioner

W231N1440 CORPORATE CT
WAUKESHA, WI 53186

Waukesha County (262) 896-6030

MS. DEBRA MERKT OT

Occupational Therapist

W231N1440 CORPORATE CT
WAUKESHA, WI 53186

Waukesha County (262) 896-6045

ANJOO M GHARIA DO

Family Medicine

W231N1440 CORPORATE CT
WAUKESHA, WI 53186

Waukesha County (262) 896-6000

JOSEPH W SHEA MD

Obstetrics & Gynecology

W231N1440 CORPORATE CT
WAUKESHA, WI 53186

Waukesha County (262) 896-6000

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 Evan Benner's NPI number?

The NPI number for Evan Benner is 1225532716. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Evan Benner located?

Evan Benner practices at W231n1440 Corporate Ct, Waukesha, WI 53186. The listed phone number is (262) 896-6000.

What is Evan Benner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Evan Benner enrolled in Medicare?

Yes. Evan Benner 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 organizations bill Medicare for Evan Benner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Benner reassigns Medicare benefits to 6 organizations: Aurora Medical Group, Inc. (West Allis, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Lakeshore Medical Clinic, LLC (Saint Francis, WI), Fort Healthcare, Inc. (Fort Atkinson, WI), Group Health Cooperative Of South Central Wisconsin (Madison, WI) and 1 more organization, listed in the Medicare section above. Each 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 Evan Benner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Benner accept?

Health plans from CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Evan Benner 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 Evan Benner affiliated with any hospitals?

According to CMS data, Evan Benner is affiliated with Aurora Health Care Central Inc, Aurora St Lukes Medical Center, West Allis Memorial Hospital, Aurora Medical Center Kenosha and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Evan Benner was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.