BENJAMIN LOUIS MAUGHAN MD
NPI 1255656120
Internal Medicine - Medical Oncology in San Antonio, TX

Active since April 02, 2010PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
7979 WURZBACH RD, SAN ANTONIO, TX 78229(210) 450-1143 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Mar 2, 2026, Nov 20, 2021 (3 updates tracked since 2021).

About Benjamin Louis Maughan Md NPPES

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

BENJAMIN LOUIS MAUGHAN MD (NPI 1255656120) is an individual medical oncology provider in San Antonio, Texas, licensed in Texas (49008) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1255656120
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameBENJAMIN LOUIS MAUGHANCredential: MD
Location Address7979 WURZBACH RDSan Antonio, TX 78229-4427
Mailing Address127 S 500 E Ste 600Salt Lake City, UT 84102-1971 · (801) 587-6705 · Fax (801) 715-8228
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 2, 2010
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1255656120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in TX · 49008
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 8134434-1205 (UT), 49008 (TX)
7979 WURZBACH RD, San Antonio, TX 78229

Secondary Practice Location 1

Location 11950 Circle of Hope, Clinic 2BSalt Lake City, UT 84112-5550 · Phone (801) 585-0100 · Fax (801) 585-0721

Accepted 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

Benjamin Louis Maughan Md 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 ID9436304151
PECOS Enrollment IDI20160926001123, I20260309002666
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 10

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
100 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
35 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
32 services24 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
26 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
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.

Internal Medicine (Hematology & Oncology)
7979 WURZBACH RD
SAN ANTONIO, TX 78229
Internal Medicine (Medical Oncology)
7979 WURZBACH RD
SAN ANTONIO, TX 78229
Surgery (Surgical Oncology)
7979 WURZBACH RD
SAN ANTONIO, TX 78229
Urology
7979 WURZBACH RD
SAN ANTONIO, TX 78229
Radiology (Radiation Oncology)
7979 WURZBACH RD
SAN ANTONIO, TX 78229
Registered Nurse (Oncology)
7979 WURZBACH RD
SAN ANTONIO, TX 78229
Psychologist (Clinical)
7979 WURZBACH RD
SAN ANTONIO, TX 78229
Nurse Practitioner (Acute Care)
7979 WURZBACH RD, 3RD FLOOR-URSCHEL BLDG
SAN ANTONIO, TX 78229

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 Benjamin Maughan's NPI number?

The NPI number for Benjamin Maughan is 1255656120. It was assigned to this individual provider in the NPPES registry on April 2, 2010.

Where is Benjamin Maughan located?

Benjamin Maughan practices at 7979 Wurzbach Rd, San Antonio, TX 78229. The listed phone number is (210) 450-1143.

What is Benjamin Maughan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Benjamin Maughan enrolled in Medicare?

Yes. Benjamin Maughan 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.

What insurance does Benjamin Maughan accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Benjamin Maughan 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.

Is Benjamin Maughan affiliated with any hospitals?

According to CMS data, Benjamin Maughan is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Benjamin Maughan was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.