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BENJAMIN WIBONELE MD
NPI 1285255448
Otolaryngology in Puyallup, WA

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
104 27TH AVE SE, PUYALLUP, WA 98374(253) 770-9000(253) 770-9712 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Wibonele Md NPPES

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

BENJAMIN WIBONELE MD (NPI 1285255448) is an individual otolaryngology provider in Puyallup, Washington, licensed in Washington (MD61666933) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of Morehouse School Of Medicine (2020).

NPPES Registry Identity

NPI1285255448
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBENJAMIN WIBONELECredential: MD
Location Address104 27TH AVE SEPuyallup, WA 98374-1145
Mailing AddressPo Box 1205Puyallup, WA 98371-0231 · (253) 770-9000 · Fax (253) 770-9712
Phone(253) 770-9000
Fax(253) 770-9712
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2020
Enumeration DateApril 29, 2020
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1285255448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in WA · MD61666933
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License MD61666933 (WA)
104 27TH AVE SE, Puyallup, WA 98374
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Other Identifiers 1

Medicaid2338134WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Benjamin Wibonele 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 ID6709385446
PECOS Enrollment IDI20250819002261
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 2

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98374 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 17

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

EAR, NOSE, THROAT & ALLERGY ASSOICATIES PS
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-8454
EAR,NOSE,THROAT & ALLERGY ASSOCIATES PS
Specialist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-8454
DR. TODD DWYER JONES M.D.
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
TIA C. MCDONALD AU.D., CCC-A
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
NOAH ARTHUR COPE
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
PROLIANCE SURGEONS, INC., P.S.
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9712
VIVIAN MAE YU MD
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
JULIE ALLINA GUSTAFSON M.D.
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 848-0368

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 Benjamin Wibonele's NPI number?

The NPI number for Benjamin Wibonele is 1285255448. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Benjamin Wibonele located?

Benjamin Wibonele practices at 104 27th Ave SE, Puyallup, WA 98374. The listed phone number is (253) 770-9000.

What is Benjamin Wibonele's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Benjamin Wibonele enrolled in Medicare?

Yes. Benjamin Wibonele 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 Benjamin Wibonele accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Benjamin Wibonele 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 Benjamin Wibonele affiliated with any hospitals?

According to CMS data, Benjamin Wibonele is affiliated with Swedish Medical Center / Cherry Hill and Multicare Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Wibonele was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.