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SAMANTHA BENZ
NPI 1255892220
Internal Medicine in Wauwatosa, WI

Active since March 30, 2019PECOS EnrolledAccepts Medicare Assignment
8701 W WATERTOWN PLANK RD, WAUWATOSA, WI 53226(262) 409-7234 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2022, Aug 25, 2022 (2 updates tracked since 2022).

About Samantha Benz NPPES

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

SAMANTHA BENZ (NPI 1255892220) is an individual internal medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (75149-20) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255892220
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSAMANTHA BENZ
Location Address8701 W WATERTOWN PLANK RDWauwatosa, WI 53226-3548
Mailing Address3289 N Mayfair RdWauwatosa, WI 53222-3203
Phone(262) 409-7234
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 30, 2019
Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1255892220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 75149-20
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8701 W WATERTOWN PLANK RD, Wauwatosa, WI 53226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Samantha Benz 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 ID6204261076
PECOS Enrollment IDI20221014002903
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.

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.
107 services72 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
18 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

DR. JAMES VAUGHAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-8296
DR. JACLYN VANDERWAL MD
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-1833
DR. KEONA CHILDS M.D.
Emergency Medicine
8701 W WATERTOWN PLANK RD, MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4575
SAMIH THALJI
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4575
JAMES BENJAMIN MORONEY MD
Radiology (Vascular & Interventional Radiology)
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-6800
JORDAN ROBERT HANRAHAN
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4582
VERONICA QUINTERN PUJOL MD
Internal Medicine
8701 W WATERTOWN PLANK RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8218
SARAH J LECAPITAINE MD
Student in an Organized Health Care Education/Training Program
8701 W WATERTOWN PLANK RD
WAUWATOSA, WI 53226
Milwaukee County (414) 955-8296

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 Samantha Benz's NPI number?

The NPI number for Samantha Benz is 1255892220. It was assigned to this individual provider in the NPPES registry on March 30, 2019.

Where is Samantha Benz located?

Samantha Benz practices at 8701 W Watertown Plank Rd, Wauwatosa, WI 53226. The listed phone number is (262) 409-7234.

What is Samantha Benz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samantha Benz enrolled in Medicare?

Yes. Samantha Benz 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 Samantha Benz accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Samantha Benz 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 Samantha Benz affiliated with any hospitals?

According to CMS data, Samantha Benz is affiliated with Aurora St Lukes Medical Center, West Allis Memorial Hospital, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Benz was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.