GUY RICHARD BENNALLACK JR. DO
NPI 1245610344
Family Medicine in Santa Maria, CA

Q: What is Guy Bennallack's NPI number?

The NPI number for Guy Bennallack is 1245610344. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Q: What is Guy Bennallack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Guy Bennallack was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 03, 2015PECOS EnrolledAccepts Medicare Assignment

1400 E CHURCH ST BLDG 8, SANTA MARIA, CA 93454(805) 739-3561 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2020, Jul 25, 2018 (2 updates tracked since 2018).

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About Guy Richard Bennallack Jr. Do NPPES

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

GUY RICHARD BENNALLACK JR. DO (NPI 1245610344) is an individual family medicine provider in Santa Maria, California, licensed in Texas (S3795) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence Horizon City Campus, and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2015).

NPPES Registry Identity

NPI1245610344

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGUY RICHARD BENNALLACK JR.Credential: DO

Location Address1400 E CHURCH ST BLDG 8Santa Maria, CA 93454

Mailing Address1400 E Church St Bldg 8Santa Maria, CA 93454-5906 · (805) 739-3374

Phone(805) 739-3561

Sole ProprietorYes

Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2015

Enumeration DateJune 3, 2015

Last NPPES UpdateMarch 23, 20202 updates tracked since enumeration

NPPES CertifiedMarch 23, 2020

✔ NPI 1245610344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · S3795✔ Licensed in CA · XXXXXXXXXX

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License S3795 (TX), 20A15415 (CA)

1400 E CHURCH ST BLDG 8, Santa Maria, CA 93454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMSA and more.Insurance ›

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

Guy Richard Bennallack Jr. 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 ID6901160795

PECOS Enrollment IDI20180502001656, I20200401000984, I20240711003029

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.

Areas of Expertise CMS Part B claims 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

126 services106 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

120 services110 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

107 services101 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

30 services29 patients

Hospital Affiliations CMS Care Compare

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

The Hospitals Of Providence Horizon City Campus

Acute Care Hospitals · Horizon City, TX

OwnershipProprietary

CMS Certification Number670124

Location13600 Horizon Street, Suite 100Horizon City, TX 79928 · El Paso County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$108.26 typical visit price

range $20.60 – $151.20

Typical copayment $27.06 (range $5.15 – $37.80)

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.

Other Providers at the Same Location NPPES 5

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

DR. JULIAN BANDURA DO

Student in an Organized Health Care Education/Training Program