DR. DOUGLAS W BENSON MD
NPI 1336302991
Orthopaedic Surgery in Chico, CA

Active since July 03, 2008PECOS EnrolledAccepts Medicare Assignment
73.34/100
CMS Quality Rating
1531 ESPLANADE, CHICO, CA 95926(530) 332-4475(530) 893-6885 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas W Benson Md NPPES

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

DR. DOUGLAS W BENSON MD (NPI 1336302991) is an individual orthopaedic surgery provider in Chico, California, licensed in California (G28623) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1973).

NPPES Registry Identity

NPI1336302991
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DOUGLAS W BENSONCredential: MD
Location Address1531 ESPLANADEChico, CA 95926-3310
Mailing Address1531 EsplanadeChico, CA 95926-3310 · (530) 332-4475
Fax(530) 893-6885
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1973
Enumeration DateJuly 3, 2008
Last NPPES UpdateOctober 26, 2012
NPI 1336302991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · G28623
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1531 ESPLANADE, Chico, CA 95926

Other Names 1

Professional Name (2)Dr. Doug W Benson Md

Other Identifiers 2

Medicare NSC1336302991CA
Medicaid1336302991CA

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. Douglas W Benson 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 ID6901944198
PECOS Enrollment IDI20091109000336
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95926 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

73.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.89
Promoting Interoperability100
Improvement Activities40
Cost57.82

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1531 ESPLANADE
CHICO, CA 95926
Nurse Practitioner (Family)
1531 ESPLANADE
CHICO, CA 95926
Nurse Practitioner
1531 ESPLANADE
CHICO, CA 95926
Internal Medicine (Infectious Disease)
1531 ESPLANADE
CHICO, CA 95926
Radiology (Diagnostic Radiology)
1531 ESPLANADE
CHICO, CA 95926
Specialist
1531 ESPLANADE
CHICO, CA 95926
Orthopaedic Surgery (Orthopaedic Trauma)
1531 ESPLANADE, ORTHO/TRAUMA DEPARTMENT
CHICO, CA 95926
Nurse Practitioner (Family)
1531 ESPLANADE
CHICO, CA 95926

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 Douglas Benson's NPI number?

The NPI number for Douglas Benson is 1336302991. It was assigned to this individual provider in the NPPES registry on July 3, 2008. The provider is also known as Dr. Doug W Benson MD.

Where is Douglas Benson located?

Douglas Benson practices at 1531 Esplanade, Chico, CA 95926. The listed phone number is (530) 332-4475.

What is Douglas Benson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Douglas Benson enrolled in Medicare?

Yes. Douglas Benson 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 Douglas Benson was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.