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DR. RICARDO BENROS PROENCA M.D.
NPI 1316177124
Hospitalist in Langhorne, PA

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
1205 LANGHRN NWTWN RD STE 403, LANGHORNE, PA 19047(215) 710-4460(215) 710-4465 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2021, Aug 13, 2018, Nov 23, 2016 (3 updates tracked since 2016).

About Dr. Ricardo Benros Proenca M.d. NPPES

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

DR. RICARDO BENROS PROENCA M.D. (NPI 1316177124) is an individual hospitalist provider in Langhorne, Pennsylvania, licensed in Pennsylvania (MD418384) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of State University Of Ny Upstate Medical University (1999).

NPPES Registry Identity

NPI1316177124
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. RICARDO BENROS PROENCACredential: M.D.
Location Address1205 LANGHRN NWTWN RD STE 403Langhorne, PA 19047
Mailing Address41 University Dr, Suite 300Newtown, PA 18940-1873 · (215) 710-7037 · Fax (215) 710-5181
Phone(215) 710-4460
Fax(215) 710-4465
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1999
Enumeration DateJuly 15, 2009
Last NPPES UpdateMay 12, 20213 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1316177124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD418384
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 235939-1 (NY), MD418384 (PA), C1-0006784 (DE), 25MA07537200 (NJ)
1205 LANGHRN NWTWN RD STE 403, Langhorne, PA 19047
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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. Ricardo Benros Proenca 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 ID3476785627
PECOS Enrollment IDI20140422001762
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
193 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
90 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
89 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
54 services54 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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
3 suppliers20 claims21 services$67.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$32.22 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 3

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

JOHN MUELLER DO
Hospitalist
1205 LANGHRN NWTWN RD STE 403
LANGHORNE, PA 19047
Bucks County (215) 710-4460
THERESA ROURKE CRNP
Nurse Practitioner (Adult Health)
1205 LANGHRN NWTWN RD STE 403
LANGHORNE, PA 19047
Bucks County (215) 710-4460
UMANG PATEL D.O.
Hospitalist
1205 LANGHRN NWTWN RD STE 403
LANGHORNE, PA 19047
Bucks County (215) 710-4460

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 Ricardo Proenca's NPI number?

The NPI number for Ricardo Proenca is 1316177124. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Ricardo Proenca located?

Ricardo Proenca practices at 1205 Langhrn Nwtwn Rd Ste 403, Langhorne, PA 19047. The listed phone number is (215) 710-4460.

What is Ricardo Proenca's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ricardo Proenca enrolled in Medicare?

Yes. Ricardo Proenca 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.

Is Ricardo Proenca affiliated with any hospitals?

According to CMS data, Ricardo Proenca is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Ricardo Proenca was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.