RICHARD HUGH BENNINGER MD
NPI 1275530909
Ophthalmology in Grand Rapids, MI

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
833 MICHIGAN ST NE, SUITE 101, GRAND RAPIDS, MI 49503(616) 459-3713(616) 459-3716 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Hugh Benninger Md NPPES

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

RICHARD HUGH BENNINGER MD (NPI 1275530909) is an individual ophthalmology provider in Grand Rapids, Michigan, licensed in Michigan (4301030073) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1970).

NPPES Registry Identity

NPI1275530909
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRICHARD HUGH BENNINGERCredential: MD
Location Address833 MICHIGAN ST NE, SUITE 101Grand Rapids, MI 49503-3523
Mailing AddressPo Box 3140Grand Rapids, MI 49501-3140 · (616) 459-3713
Fax(616) 459-3716
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1970
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 31, 2018
NPI 1275530909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301030073
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
833 MICHIGAN ST NE, Grand Rapids, MI 49503

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

Richard Hugh Benninger 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 ID8123111895
PECOS Enrollment IDI20070911000736
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 9

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
165 services165 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
101 services84 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
94 services94 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.
76 services76 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
71 services58 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
47 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 6

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

Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Physician Assistant
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503
Dermatology (Dermatopathology)
833 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503

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 Richard Benninger's NPI number?

The NPI number for Richard Benninger is 1275530909. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Richard Benninger located?

Richard Benninger practices at 833 Michigan St NE Suite 101, Grand Rapids, MI 49503. The listed phone number is (616) 459-3713.

What is Richard Benninger's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Richard Benninger enrolled in Medicare?

Yes. Richard Benninger 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 Richard Benninger accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Richard Benninger 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.

When was this NPI record last updated?

The NPPES record for Richard Benninger was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.