ARELIS BENITEZ-QUINONES MD
NPI 1275635500
Clinic/Center - Primary Care in Wanblee, SD

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
210 1ST STREET, WANBLEE, SD 57577(605) 462-5650(605) 462-6631 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Apr 9, 2021 (2 updates tracked since 2021).

About Arelis Benitez-quinones Md NPPES

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

ARELIS BENITEZ-QUINONES MD (NPI 1275635500) is an individual primary care provider in Wanblee, South Dakota and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Pine Ridge Ihs Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1275635500
Entity TypeIndividualFemale
Primary Taxonomy261QP2300X
Provider Legal NameARELIS BENITEZ-QUINONESCredential: MD
Location Address210 1ST STREETWanblee, SD 57577
Mailing Address210 1st Street, P.o. Box 290Wanblee, SD 57577 · (605) 462-5650 · Fax (605) 462-6631
Fax(605) 462-6631
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 5, 2006
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1275635500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedGeneral PracticeTaxonomy 208D00000X · License 15481 (PR)
210 1ST STREET, Wanblee, SD 57577

Other Names 1

Other Name (5)Arelis Benitez Md

Other Identifiers 3

Other15481PR · License
Medicaid5540040SD
OtherPHS000Upin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Arelis Benitez-quinones 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 ID648424333
PECOS Enrollment IDI20161215000039
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Arelis Benitez-quinones reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
210 1ST ST
Wanblee, SD 57577
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
Clinic/Center
1000 HEALTH CENTER RD
Kyle, SD 57752
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
Clinic/Center
119 SOUTH 1ST AVENUE
Martin, SD 57551
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
Emergency Medical Technician, Intermediate
CALLE PADRE LAS CASAS #107, UR. EL VEDADO
Hato Rey, PR 00918
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 6 clinicians in this Medicare group
Emergency Medical Technician, Intermediate
CALLE PADRE DE LAS CASA, #107
San Juan, PR 00918
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Physician Hmo Inc
  • 33 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
103 services46 patients

Hospital Affiliations CMS Care Compare

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

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57577 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims21 services$119.28 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$30.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
210 1ST STREET
WANBLEE, SD 57577
Nurse Practitioner (Family)
210 1ST STREET
WANBLEE, SD 57577

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 Arelis Benitez-quinones's NPI number?

The NPI number for Arelis Benitez-quinones is 1275635500. It was assigned to this individual provider in the NPPES registry on September 5, 2006. The provider is also known as Arelis Benitez MD.

Where is Arelis Benitez-quinones located?

Arelis Benitez-quinones practices at 210 1st Street, Wanblee, SD 57577. The listed phone number is (605) 462-5650.

What is Arelis Benitez-quinones's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Arelis Benitez-quinones enrolled in Medicare?

Yes. Arelis Benitez-quinones 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.

Which organizations bill Medicare for Arelis Benitez-quinones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arelis Benitez-quinones reassigns Medicare benefits to 5 organizations: Pine Ridge Indian Health Service Hospital (Wanblee, SD), Pine Ridge Indian Health Service Hospital (Kyle, SD), Pine Ridge Indian Health Service Hospital (Martin, SD), Grupo De Empresas De Salud De San Juan, Inc (Hato Rey, PR) and Physician H.M.O. Inc. (San Juan, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arelis Benitez-quinones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Arelis Benitez-quinones affiliated with any hospitals?

According to CMS data, Arelis Benitez-quinones is affiliated with Pine Ridge Ihs Hospital.

When was this NPI record last updated?

The NPPES record for Arelis Benitez-quinones was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.