DR. PAULA SUE BENES M.D.
NPI 1346263647
Physical Medicine & Rehabilitation in Edwardsville, IL
About Dr. Paula Sue Benes M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAULA SUE BENES M.D. (NPI 1346263647) is an individual physical medicine & rehabilitation provider in Edwardsville, Illinois, licensed in Illinois (036.168593) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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
Dr. Paula Sue Benes 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.
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.
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.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDWARDSVILLE, IL 62025
EDWARDSVILLE, IL 62025
EDWARDSVILLE, IL 62025
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 Paula Benes's NPI number?
The NPI number for Paula Benes is 1346263647. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Paula Benes located?
Paula Benes practices at 3402 Anderson Healthcare Dr, Edwardsville, IL 62025. The listed phone number is (877) 749-7428.
What is Paula Benes's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Paula Benes enrolled in Medicare?
Yes. Paula Benes 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 Paula Benes accept?
Health plans from UnitedHealthcare list Paula Benes 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.
When was this NPI record last updated?
The NPPES record for Paula Benes was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.