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DAMARIS BENITEZ O.D.
NPI 1275947772
Optometrist in West Miami, FL

Active since June 12, 2014PECOS Enrolled
87.5/100
CMS Quality Rating
5786 SW 8TH ST, WEST MIAMI, FL 33144(786) 253-5922 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2021, Oct 26, 2017, Jan 24, 2017 (3 updates tracked since 2017).

About Damaris Benitez O.d. NPPES

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

DAMARIS BENITEZ O.D. (NPI 1275947772) is an individual optometrist in West Miami, Florida, licensed in Florida (OPC5159) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275947772
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDAMARIS BENITEZCredential: O.D.
Location Address5786 SW 8TH STWest Miami, FL 33144-5034
Mailing Address5509 Sw 2nd StCoral Gables, FL 33134-1017 · (305) 262-7273
Phone(786) 253-5922
Sole ProprietorNo
Enumeration DateJune 12, 2014
Last NPPES UpdateDecember 30, 20213 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1275947772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC5159
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 046.010782 (IL)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 046.010782 (IL)
5786 SW 8TH ST, West Miami, FL 33144
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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, AvMed, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Damaris Benitez O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Damaris Benitez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Services Corp Of Florida
20 mi
Family Medicine
4000 N HILLS DR APT 36
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
NPI 1598423253 (239) 366-1948
Gulf Coast Optometry, PA
204 mi
Corneal and Contact Management
1725 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 209 clinicians in this Medicare group
NPI 1083859409 (239) 800-1717
Sightrite Medical Fl PLLC
1,092 mi
Optometrist
232 BROADWAY
Brooklyn, NY 11211
  • Reassigned Medicare billing, Florida enrollment
  • 32 clinicians in this Medicare group
NPI 1568977494 (212) 764-0008

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 6

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.
1,024 services812 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
567 services567 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.
212 services203 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
101 services101 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
15 services15 patients
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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33144 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

87.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%88 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,679 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 2,705 patients
100%2,705 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier99 claims99 services$66.23 avg. paid by Medicare
Sphere, single vision, plano to plus or minus 4.00, per lens V2100
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier70 claims137 services$32.54 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier29 claims56 services$42.41 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 4

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

MARIA ELENA ROURA D.O
Technician/Technologist (Optician)
5786 SW 8TH ST
WEST MIAMI, FL 33144
Miami-Dade County (305) 262-7273
ADRIAZOLA EYE GROUP
Optometrist
5786 SW 8TH ST
WEST MIAMI, FL 33144
Miami-Dade County (305) 262-7273
DR. SHIRLEY ADRIAZOLA OD
Optometrist
5786 SW 8TH ST
WEST MIAMI, FL 33144
Miami-Dade County (305) 262-7273
CARMOUZE EYE CARE PA
Optometrist
5786 SW 8TH ST
WEST MIAMI, FL 33144
Miami-Dade County (305) 262-7273

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 Damaris Benitez's NPI number?

The NPI number for Damaris Benitez is 1275947772. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is Damaris Benitez located?

Damaris Benitez practices at 5786 SW 8th St, West Miami, FL 33144. The listed phone number is (786) 253-5922.

What is Damaris Benitez's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Damaris Benitez enrolled in Medicare?

Yes. Damaris Benitez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Damaris Benitez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Damaris Benitez reassigns Medicare benefits to 3 organizations: Medical Services Corp Of Florida (Hollywood, FL), Gulf Coast Optometry, PA (Tampa, FL) and Sightrite Medical Fl PLLC (Brooklyn, NY). 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 Damaris Benitez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Damaris Benitez accept?

Health plans from Anthem Blue Cross and Blue Shield, AvMed, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Damaris Benitez 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 Damaris Benitez was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.