DR. PARAMJIT SINGH BENIPAL MD
NPI 1306803572
Internal Medicine - Gastroenterology in Santa Maria, CA

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
84.35/100
CMS Quality Rating
361 TOWN CENTER WEST SUITE 101, SANTA MARIA, CA 93458(805) 922-6581(805) 348-3217 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paramjit Singh Benipal Md NPPES

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

DR. PARAMJIT SINGH BENIPAL MD (NPI 1306803572) is an individual gastroenterology provider in Santa Maria, California, licensed in California (A64620) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1306803572
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PARAMJIT SINGH BENIPALCredential: MD
Location Address361 TOWN CENTER WEST SUITE 101Santa Maria, CA 93458
Mailing Address361 Town Center West Suite 101Santa Maria, CA 93458 · (805) 347-7355 · Fax (805) 347-7354
Fax(805) 348-3217
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateApril 28, 2006
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
NPI 1306803572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A64620
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
361 TOWN CENTER WEST SUITE 101, Santa Maria, CA 93458

Other Names 1

Professional Name (2)Dr. Pj S Benipal Md

Other Identifiers 2

OtherA64620CA · State License
Medicaid00A646200CA

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. Paramjit Singh Benipal 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 ID6204890965
PECOS Enrollment IDI20041115000577
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 11

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.
734 services444 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
611 services487 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
299 services298 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
191 services191 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
190 services185 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
188 services188 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93458 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
$139.99 typical visit price
range $62.01 – $184.40
Typical copayment $34.99 (range $15.50 – $46.10)
Most-billed visit code 99204
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

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.

84.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.81
Promoting Interoperability84
Improvement Activities40
Cost64.3

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.45 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 7

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

Internal Medicine (Gastroenterology)
361 TOWN CENTER WEST SUITE 101
SANTA MARIA, CA 93458
Internal Medicine (Gastroenterology)
361 TOWN CENTER WEST SUITE 101
SANTA MARIA, CA 93458
Internal Medicine (Gastroenterology)
361 TOWN CENTER WEST SUITE 101
SANTA MARIA, CA 93458
Internal Medicine (Gastroenterology)
361 TOWN CENTER WEST SUITE 101
SANTA MARIA, CA 93458
Nurse Practitioner (Obstetrics & Gynecology)
361 TOWN CENTER WEST SUITE 101
SANTA MARIA, CA 93458
Physician Assistant
361 TOWN CENTER WEST SUITE 101
SANTA MARIA, CA 93458
Internal Medicine (Gastroenterology)
361 TOWN CENTER WEST SUITE 101
SANTA MARIA, CA 93458

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 Paramjit Benipal's NPI number?

The NPI number for Paramjit Benipal is 1306803572. It was assigned to this individual provider in the NPPES registry on April 28, 2006. The provider is also known as Dr. Pj S Benipal MD.

Where is Paramjit Benipal located?

Paramjit Benipal practices at 361 Town Center West Suite 101, Santa Maria, CA 93458. The listed phone number is (805) 922-6581.

What is Paramjit Benipal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paramjit Benipal enrolled in Medicare?

Yes. Paramjit Benipal 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 Paramjit Benipal was last updated on June 2, 2022. 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.