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DR. TERRELL BENOLD M.D.
NPI 1245252576
Family Medicine in Austin, TX

Active since July 24, 2006PECOS Enrolled
72.52/100
CMS Quality Rating
1313 RED RIVER ST STE 100, AUSTIN, TX 78701(512) 324-8600(512) 324-8616 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Terrell Benold M.d. NPPES

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

DR. TERRELL BENOLD M.D. (NPI 1245252576) is an individual family medicine provider in Austin, Texas, licensed in Texas (G4822) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245252576
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TERRELL BENOLDCredential: M.D.
Location Address1313 RED RIVER ST STE 100Austin, TX 78701-1923
Mailing Address1601 Rio Grande St Ste 340Austin, TX 78701-1162 · (512) 324-7318 · Fax (512) 324-8018
Phone(512) 324-8600
Fax(512) 324-8616
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 5, 2012
✔ NPI 1245252576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · G4822
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.
1313 RED RIVER ST STE 100, Austin, TX 78701
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Other Identifiers 4

Medicaid133728910TX
Medicaid133728903TX
Medicare UPINB21200TX
Medicare PIN8J2162TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Terrell Benold M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Terrell Benold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seton Family Of Doctors
0.2 mi
Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
NPI 1588997233 (512) 324-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

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
3 suppliers15 claims45 services$6.75 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$59.48 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 11

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

ALISON JEANNE BROOKS-HEINZMAN MD
Obstetrics & Gynecology
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Travis County (512) 324-8600
FARAH KHAN M.D.
Student in an Organized Health Care Education/Training Program
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Travis County (512) 324-8619
JESSICA CHERNETSKY MD
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Travis County (512) 324-7318
DR. WILLIAM RYAN JONES MD
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Travis County (512) 324-7318
DR. ESTEVAN APODACA M.D.
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Travis County (512) 324-7318
DR. DANA SPRUTE MD
Family Medicine
1313 RED RIVER ST STE 100, AUSTIN MEDICAL EDUCATION FAMILY MEDICINE RESIDENCY
AUSTIN, TX 78701
Travis County (512) 324-8600
DR. DAVID P WRIGHT M.D.
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Travis County (512) 324-8600
JOSEPH HESSE MD
Family Medicine
1313 RED RIVER ST STE 100
AUSTIN, TX 78701
Travis County (512) 324-7318

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 Terrell Benold's NPI number?

The NPI number for Terrell Benold is 1245252576. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Terrell Benold located?

Terrell Benold practices at 1313 Red River St Ste 100, Austin, TX 78701. The listed phone number is (512) 324-8600.

What is Terrell Benold's specialty?

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

Is Terrell Benold enrolled in Medicare?

Yes. Terrell Benold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Terrell Benold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terrell Benold reassigns Medicare benefits to Seton Family Of Doctors (Austin, TX). 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 Terrell Benold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terrell Benold accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Terrell Benold 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 Terrell Benold was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.