VALENTE ANTONIO BENAVIDES MD
NPI 1316987597
Surgery in Cuero, TX

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2500 N ESPLANADE ST, SUITE 103, CUERO, TX 77954(361) 275-9754 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2022, Sep 29, 2021, Feb 19, 2016 (3 updates tracked since 2016).

About Valente Antonio Benavides Md NPPES

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

VALENTE ANTONIO BENAVIDES MD (NPI 1316987597) is an individual surgery provider in Cuero, Texas, licensed in Texas (H7887) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Big Bend Regional Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1989).

NPPES Registry Identity

NPI1316987597
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameVALENTE ANTONIO BENAVIDESCredential: MD
Location Address2500 N ESPLANADE ST, SUITE 103Cuero, TX 77954-4723
Mailing Address2500 N Esplanade St, Suite 103Cuero, TX 77954-4723 · (361) 275-9754
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1989
Enumeration DateJune 7, 2006
Last NPPES UpdateAugust 18, 20223 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1316987597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · H7887
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2500 N ESPLANADE ST, Cuero, TX 77954

Other Identifiers 2

Medicaid034942501TX
Medicaid034942502TX

Accepted 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

Valente Antonio Benavides 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 ID2668439662
PECOS Enrollment IDI20041210000832
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 7

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.

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.
77 services77 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services48 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
29 services29 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.
26 services26 patients
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.
26 services23 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Big Bend Regional Medical Center

Critical Access Hospitals · Alpine, TX
OwnershipProprietary
CMS Certification Number451378
Location2600 Highway 118 NorthAlpine, TX 79830 · Brewster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77954 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Clinic/Center (Rural Health)
2500 N ESPLANADE ST, SUITE 102
CUERO, TX 77954
Physician Assistant
2500 N ESPLANADE ST, SUITE 101
CUERO, TX 77954
Physician Assistant
2500 N ESPLANADE ST, STE 101
CUERO, TX 77954
Family Medicine
2500 N ESPLANADE ST, STE 101
CUERO, TX 77954
Clinic/Center (Rural Health)
2500 N ESPLANADE ST, SUITE 102
CUERO, TX 77954
Family Medicine
2500 N ESPLANADE ST, SUITE 101
CUERO, TX 77954
General Practice
2500 N ESPLANADE ST, STE 102
CUERO, TX 77954

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 Valente Benavides's NPI number?

The NPI number for Valente Benavides is 1316987597. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Valente Benavides located?

Valente Benavides practices at 2500 N Esplanade St Suite 103, Cuero, TX 77954. The listed phone number is (361) 275-9754.

What is Valente Benavides's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Valente Benavides enrolled in Medicare?

Yes. Valente Benavides 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 Valente Benavides accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Valente Benavides 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 Valente Benavides affiliated with any hospitals?

According to CMS data, Valente Benavides is affiliated with Big Bend Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Valente Benavides was last updated on August 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.