DR. WILLIAM H BENN MD
NPI 1346275344
Family Medicine in Green Bay, WI

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
2502 S ASHLAND AVE, GREEN BAY, WI 54304(920) 496-4700 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William H Benn Md NPPES

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

DR. WILLIAM H BENN MD (NPI 1346275344) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (26750) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1984).

NPPES Registry Identity

NPI1346275344
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM H BENNCredential: MD
Location Address2502 S ASHLAND AVEGreen Bay, WI 54304-5252
Mailing Address2502 S Ashland AveGreen Bay, WI 54304-5252 · (920) 496-4700
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1984
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 7, 2015
NPI 1346275344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 26750
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 26750 (WI)
2502 S ASHLAND AVE, Green Bay, WI 54304

Other Identifiers 2

Medicaid30810300WI
Medicare UPINB51494WI

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. William H Benn 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 ID648179762
PECOS Enrollment IDI20040107000622
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.

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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers22 claims41 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims11 services$1.07 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$3.93 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,425 services$0.27 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 20

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

Nurse Practitioner (Family)
2502 S ASHLAND AVE
GREEN BAY, WI 54304
Physical Therapist
2502 S ASHLAND AVE
GREEN BAY, WI 54304
Physical Therapist
2502 S ASHLAND AVE
GREEN BAY, WI 54304
Nurse Practitioner (Family)
2502 S ASHLAND AVE
GREEN BAY, WI 54304
Physician Assistant
2502 S ASHLAND AVE
GREEN BAY, WI 54304
Physician Assistant
2502 S ASHLAND AVE
GREEN BAY, WI 54304
Physician Assistant
2502 S ASHLAND AVE
GREEN BAY, WI 54304
Physical Therapist
2502 S ASHLAND AVE
GREEN BAY, WI 54304

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 William Benn's NPI number?

The NPI number for William Benn is 1346275344. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is William Benn located?

William Benn practices at 2502 S Ashland Ave, Green Bay, WI 54304. The listed phone number is (920) 496-4700.

What is William Benn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Benn enrolled in Medicare?

Yes. William Benn 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 William Benn accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list William Benn 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 William Benn was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.