DR. GEORGE BENES MD
NPI 1255332631
Specialist in Newark, DE

NPI Status: Active since August 09, 2005

Contact Information

2600 GLASGOW AVE
SUITE 203
NEWARK, DE
ZIP 19702
Phone: (302) 832-3755
Fax: (302) 834-4863

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  • Individual
  • Male
  • Specialist
  • Accepts Insurance
  • PECOS Enrolled

About GEORGE BENES

This page provides the complete NPI Profile along with additional information for George Benes, a provider established in Newark, Delaware with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1255332631 assigned on August 2005. The practitioner's primary taxonomy code is 174400000X with license number C1-0002929 (DE). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1255332631
Provider Name
DR. GEORGE BENES MD
Gender
Male
Entity Type
Individual
Location Address
2600 GLASGOW AVE SUITE 203 NEWARK, DE 19702
Location Phone
(302) 832-3755
Location Fax
(302) 834-4863
Mailing Address
2600 GLASGOW AVE SUITE 203 NEWARK, DE 19702
Mailing Phone
(302) 832-3755
Mailing Fax
(302) 834-4863
Is Sole Proprietor?
No
Enumeration Date
08-09-2005
Last Update Date
10-18-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
C1-0002929
License State
DE
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access Select PPO Bronze 3800 - PPO
  • my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Bronze 9200 - PPO
  • my Blue Access Select PPO Gold 0 - PPO
  • my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Gold 1700 HSA - PPO
  • my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0000193901MEDICAID (05)DE 
0091433000OTHER (01)DEPERSONAL CHOICE
0091433000OTHER (01)DEKEYSTONE
00C010G14MEDICARE PIN (08)DE 
C48728OTHER (01)DEBLUE CROSS BLUE SHIELD
0091433000OTHER (01)DEAMERIHEALTH
P00186634OTHER (01)DERAILROAD MEDICARE ID NUM
4295809OTHER (01)DEAETNA PPO ID NUM
57005OTHER (01)DEAETNA-HMO ID NUM
000000212085OTHER (01)DEUNISON HEALTH PLAN

Medicare Participation & PECOS Enrollment Status

George Benes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 65 times for 64 patients

Colonoscopy

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

This service was performed for 97 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 95 times for 94 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 18 times for 18 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 13 times for 13 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 75 times for 74 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 127 times for 121 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 36 times for 36 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 169 times for 169 patients

Upper gastrointestinal (GI) endoscopy for acid reflux

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

This service was performed for 1-10 patients

Reviews for DR. GEORGE BENES MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255332631, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 6 + 3 + 4 + 6 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1255332631.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Chiropractor
2600 GLASGOW AVE, SUITE 120
NEWARK, DE 19702
Pediatrics
2600 GLASGOW AVE, SUITE 213
NEWARK, DE 19702
Podiatrist
2600 GLASGOW AVE, STE 107
NEWARK, DE 19702
Chiropractor
2600 GLASGOW AVE, SUITE 120
NEWARK, DE 19702
Family Medicine
2600 GLASGOW AVE, SUITE 120
NEWARK, DE 19702
Obstetrics & Gynecology
2600 GLASGOW AVE, SUITE 207
NEWARK, DE 19702
Psychologist
2600 GLASGOW AVE, SUITE 106
GLASGOW, DE 19702
Physical Therapist
2600 GLASGOW AVE, SUITE 105
NEWARK, DE 19702
Physician Assistant
2600 GLASGOW AVE, SUITE 207
NEWARK, DE 19702
Nurse Practitioner (Family)
2600 GLASGOW AVE
NEWARK, DE 19702
Pediatrics
2600 GLASGOW AVE, SUITE 213
NEWARK, DE 19702
Specialist
2600 GLASGOW AVE, SUITE 108
NEWARK, DE 19702
Durable Medical Equipment & Medical Supplies
2600 GLASGOW AVE, SUITE 105
NEWARK, DE 19702
Orthopaedic Surgery
2600 GLASGOW AVE, SUITE 106
NEWARK, DE 19702
Eyewear Supplier
2600 GLASGOW AVE, SUITE 206
NEWARK, DE 19702
Physical Therapist
2600 GLASGOW AVE, SUITE 105
NEWARK, DE 19702
Pediatrics (Adolescent Medicine)
2600 GLASGOW AVE, SUITE 212
NEWARK, DE 19702
Physical Therapist
2600 GLASGOW AVE, SUITE 105
NEWARK, DE 19702
Internal Medicine (Clinical Cardiac Electrophysiology)
2600 GLASGOW AVE, SUITE 104
NEWARK, DE 19702
Nurse Practitioner
2600 GLASGOW AVE
NEWARK, DE 19702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255332631, enumerated as an "individual" on August 09, 2005.

The provider is located at 2600 GLASGOW AVE SUITE 203 NEWARK, DE 19702 and the phone number is (302) 832-3755.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Highmark Blue Cross Blue Shield Delaware,. Please consult your insurance carrier or call the provider to verify.