DR. MICHAEL A BENEKE M.D.
NPI 1275545329
Surgery in Sacramento, CA

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
2725 CAPITOL AVE, SUITE 402, SACRAMENTO, CA 95816(916) 262-9404(916) 262-9410 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael A Beneke M.d. NPPES

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

DR. MICHAEL A BENEKE M.D. (NPI 1275545329) is an individual surgery provider in Sacramento, California, licensed in California (A62335) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1995).

NPPES Registry Identity

NPI1275545329
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL A BENEKECredential: M.D.
Location Address2725 CAPITOL AVE, SUITE 402Sacramento, CA 95816-6004
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Fax(916) 262-9410
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1995
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 22, 2015
NPI 1275545329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A62335
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2725 CAPITOL AVE, Sacramento, CA 95816

Other Identifiers 3

Medicaid00A623350CA
Medicare ID-Type Unspecified00A623350
Medicare UPING79815

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

Dr. Michael A Beneke M.d. 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 ID9638238314
PECOS Enrollment IDI20081110000778
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 15

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 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.
42 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
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.
32 services32 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
26 services26 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 services22 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 20

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

Orthopaedic Surgery
2725 CAPITOL AVE, SUITE 302
SACRAMENTO, CA 95816
Orthopaedic Surgery
2725 CAPITOL AVE, SUITE 302
SACRAMENTO, CA 95816
Surgery
2725 CAPITOL AVE, SUITE 402
SACRAMENTO, CA 95816
Podiatrist
2725 CAPITOL AVE
SACRAMENTO, CA 95816
Orthopaedic Surgery
2725 CAPITOL AVE, SUITE 302
SACRAMENTO, CA 95816
Otolaryngology
2725 CAPITOL AVE, #404
SACRAMENTO, CA 95816
Obstetrics & Gynecology
2725 CAPITOL AVE, SUITE 304
SACRAMENTO, CA 95816
Physician Assistant
2725 CAPITOL AVE, SUITE 300
SACRAMENTO, CA 95816

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 Michael Beneke's NPI number?

The NPI number for Michael Beneke is 1275545329. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Michael Beneke located?

Michael Beneke practices at 2725 Capitol Ave Suite 402, Sacramento, CA 95816. The listed phone number is (916) 262-9404.

What is Michael Beneke's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Beneke enrolled in Medicare?

Yes. Michael Beneke 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.

When was this NPI record last updated?

The NPPES record for Michael Beneke was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.