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ANDREW BENSON O.D.
NPI 1235544826
Optometrist in Denver, CO

Active since June 23, 2014PECOS Enrolled
5489 N XENIA ST, DENVER, CO 80238(720) 295-5356(720) 263-9142 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrew Benson O.d. NPPES

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

ANDREW BENSON O.D. (NPI 1235544826) is an individual optometrist in Denver, Colorado, licensed in Colorado (OPT.0003058) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1235544826
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANDREW BENSONCredential: O.D.
Location Address5489 N XENIA STDenver, CO 80238
Mailing Address5489 N Xenia StDenver, CO 80238-3870 · (720) 295-5356 · Fax (720) 263-9142
Phone(720) 295-5356
Fax(720) 263-9142
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateSeptember 18, 2018
✔ NPI 1235544826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CO · OPT.0003058
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5489 N XENIA ST, Denver, CO 80238
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Secondary Practice Location 1

Location 11411 S Potomac St, Suite #140Aurora, CO 80012-4536 · Phone (303) 337-3937 · Fax (303) 337-2272

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Benson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749409365
PECOS Enrollment IDI20140915000420
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 Andrew Benson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vision Coverage Of Colorado, LLC
Same address
Optometrist
5489 N XENIA ST
Denver, CO 80238
  • Reassigned Medicare billing, Colorado enrollment
NPI 1609306570 (720) 295-5356

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 11

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
236 services233 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
167 services167 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
108 services103 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
92 services84 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
50 services48 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80238 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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

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

VISION COVERAGE OF COLORADO, LLC
Optometrist
5489 N XENIA ST
DENVER, CO 80238
Denver County (720) 295-5356

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 Andrew Benson's NPI number?

The NPI number for Andrew Benson is 1235544826. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Andrew Benson located?

Andrew Benson practices at 5489 N Xenia St, Denver, CO 80238. The listed phone number is (720) 295-5356.

What is Andrew Benson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Andrew Benson enrolled in Medicare?

Yes. Andrew Benson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Benson reassigns Medicare benefits to Vision Coverage Of Colorado, LLC (Denver, CO). 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 Andrew Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Benson was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.