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NANCY M BENEGAS MD
NPI 1275504854
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Nashville, TN

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 TVC, NASHVILLE, TN 37232(615) 322-3000(615) 322-3000 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2024, Oct 15, 2020, Sep 19, 2020 and 1 more (4 updates tracked since 2019).

About Nancy M Benegas Md NPPES

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

NANCY M BENEGAS MD (NPI 1275504854) is an individual pediatric ophthalmology and strabismus specialist in Nashville, Tennessee, licensed in Tennessee (45117) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of University Of Minnesota, Duluth School Of Medicine (1993).

NPPES Registry Identity

NPI1275504854
Entity TypeIndividualFemale
Primary Taxonomy207WX0110X
Provider Legal NameNANCY M BENEGASCredential: MD
Location Address3601 TVCNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-3000
Phone(615) 322-3000
Fax(615) 322-3000
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 1993
Enumeration DateJanuary 31, 2006
Last NPPES UpdateNovember 8, 20244 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1275504854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in TN · 45117
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Also ListedOphthalmologyTaxonomy 207W00000X · License 45117 (TN)
3601 TVC, Nashville, TN 37232
Open in Google Maps ↗

Other Identifiers 1

Medicaid787527400MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.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

Nancy M Benegas 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 ID8527100122
PECOS Enrollment IDI20100120000451
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.

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
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.

GEORGE ANNE RAINES APRN
Pediatrics
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LEALANI MAE ACOSTA MD
Psychiatry & Neurology (Neurology)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
ELLEN HOUSE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. DEBORAH P JONES MD
Pediatrics (Pediatric Nephrology)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
SPYROS KALAMS MD
Internal Medicine (Infectious Disease)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
ROBERT BAUM MD
Physical Medicine & Rehabilitation
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
KENNETH SHARP MD
Surgery
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JOHN DOWNING MD
Anesthesiology
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Nancy Benegas's NPI number?

The NPI number for Nancy Benegas is 1275504854. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Nancy Benegas located?

Nancy Benegas practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Nancy Benegas's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is Nancy Benegas enrolled in Medicare?

Yes. Nancy Benegas 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 Nancy Benegas accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Nancy Benegas 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 Nancy Benegas affiliated with any hospitals?

According to CMS data, Nancy Benegas is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Nancy Benegas was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.