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DR. BENTON R. MIDDLEMAN M.D.
NPI 1235165713
Pathology - Anatomic Pathology & Clinical Pathology in Dallas, TX

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
73.51/100
CMS Quality Rating
3600 GASTON AVE, WADLEY TOWER, 261, DALLAS, TX 75246(214) 818-9100(214) 818-9180 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Benton R. Middleman M.d. NPPES

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

DR. BENTON R. MIDDLEMAN M.D. (NPI 1235165713) is an individual anatomic pathology & clinical pathology provider in Dallas, Texas, licensed in Texas (J6596) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of University Of Texas Medical School At Houston (1993).

NPPES Registry Identity

NPI1235165713
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. BENTON R. MIDDLEMANCredential: M.D.
Location Address3600 GASTON AVE, WADLEY TOWER, 261Dallas, TX 75246-1800
Mailing Address3600 Gaston Ave, Barnett Tower, 261Dallas, TX 75246-1800 · (214) 823-6492 · Fax (214) 818-9180
Phone(214) 818-9100
Fax(214) 818-9180
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1993
Enumeration DateJune 25, 2006
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1235165713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in TX · J6596✔ Licensed in TN · 0000062995
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3600 GASTON AVE, Dallas, TX 75246
Open in Google Maps ↗

Secondary Practice Location 1

Location 11010 Airpark Center DrNashville, TN 37217-5200 · Phone (615) 562-9200

Other Identifiers 3

Medicaid042637101TX
Other83P752TX · Blue Cross Blue Sheild
OtherP00101012TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan 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

Dr. Benton R. Middleman M.d. 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 ID5698936946
PECOS Enrollment IDI20120412000361
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

2

Medicare enrollment records show Benton Middleman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathologists Bio-Medical Laboratories PLLC
Same address
Anatomic Pathology & Clinical Pathology
3500 GASTON AVE
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 68 clinicians in this Medicare group
NPI 1265477707 (214) 818-9100
Associated Pathologists, LLC
620 mi
Anatomic Pathology & Clinical Pathology
1010 AIRPARK CENTER DR
Nashville, TN 37217
  • Reassigned Medicare billing, Tennessee enrollment
  • 107 clinicians in this Medicare group
NPI 1003863580 (615) 221-4400

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.

Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
2,657 services1,936 patients
Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
1,777 services1,463 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

73.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.83
Improvement Activities40

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.

DR. MAMTA GUPTA MD
Internal Medicine
3600 GASTON AVE, SUITE 550
DALLAS, TX 75246
Dallas County (214) 821-8867
DR. ARIEL MARCELO MODRYKAMIEN M.D.
Internal Medicine (Pulmonary Disease)
3600 GASTON AVE, WADLEY TOWER, SUITE 960
DALLAS, TX 75246
Dallas County (402) 972-6078
SUSAN C. CHESIRE ANP
Nurse Practitioner (Adult Health)
3600 GASTON AVE, WADLEY TOWER, SUITE 651
DALLAS, TX 75246
Dallas County (214) 820-9115
DR. SADAT ANWAR SHAMIM M.D.
Psychiatry & Neurology (Neurology)
3600 GASTON AVE, SUITE 1155
DALLAS, TX 75246
Dallas County (214) 820-4688
KIMBER LEE FOUST MD
Internal Medicine (Critical Care Medicine)
3600 GASTON AVE, WADLEY TOWER STE 960
DALLAS, TX 75246
Dallas County (214) 820-5630
TEXAS SAM HOLDINGS, LLC
Clinic/Center (Sleep Disorder Diagnostic)
3600 GASTON AVE, SUITE 1055
DALLAS, TX 75246
Dallas County (214) 827-0330
DR. CARLOS E VELASCO MD
Internal Medicine (Interventional Cardiology)
3600 GASTON AVE, SUITE 851
DALLAS, TX 75246
Dallas County (214) 826-6044
ROBERT LOUIS KOSTER M.D.
Internal Medicine
3600 GASTON AVE, SUITE 703
DALLAS, TX 75246
Dallas County (214) 823-4200

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 Benton Middleman's NPI number?

The NPI number for Benton Middleman is 1235165713. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Benton Middleman located?

Benton Middleman practices at 3600 Gaston Ave Wadley Tower, 261, Dallas, TX 75246. The listed phone number is (214) 818-9100.

What is Benton Middleman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Benton Middleman enrolled in Medicare?

Yes. Benton Middleman 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 Benton Middleman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benton Middleman reassigns Medicare benefits to 2 organizations: Pathologists Bio-Medical Laboratories PLLC (Dallas, TX) and Associated Pathologists, LLC (Nashville, TN). 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 Benton Middleman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benton Middleman accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Benton Middleman 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 Benton Middleman was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.