1. Home
  2. Directory
  3. Texas
  4. Laredo
  5. Family Medicine
  6. NPI Profile

OSCAR BENAVIDES MD
NPI 1356493977
Family Medicine in Laredo, TX

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
209 W VILLAGE BLVD, STE 11, LAREDO, TX 78041(956) 725-5210(956) 717-1708 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2019, Dec 12, 2016 (2 updates tracked since 2016).

About Oscar Benavides Md NPPES

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

OSCAR BENAVIDES MD (NPI 1356493977) is an individual family medicine provider in Laredo, Texas, licensed in Texas (H9039) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1356493977
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOSCAR BENAVIDESCredential: MD
Location Address209 W VILLAGE BLVD, STE 11Laredo, TX 78041-2227
Mailing Address209 W Village Blvd, Ste 11Laredo, TX 78041-2227 · (956) 725-5210 · Fax (956) 717-1708
Phone(956) 725-5210
Fax(956) 717-1708
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 16, 2007
Last NPPES UpdateOctober 17, 20192 updates tracked since enumeration
✔ NPI 1356493977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H9039
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.

209 W VILLAGE BLVD, Laredo, TX 78041
Open in Google Maps ↗

Other Identifiers 2

Medicaid1371882-02TX
Medicaid1924631-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Oscar 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 ID3274529789
PECOS Enrollment IDI20040421000963
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 11

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.
312 services71 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
297 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
180 services64 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
44 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services27 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450643
Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78041 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 5

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
6 suppliers23 claims58 services$6.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims23 services$1.16 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$5.59 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers21 claims21 services$19.72 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$5.59 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.

CMS HOME HEALTH CARE, INC.
Home Health
209 W VILLAGE BLVD, SUITE 7
LAREDO, TX 78041
Webb County (967) 753-6701
G. G. MEDICAL, INC.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
209 W VILLAGE BLVD, STE 4
LAREDO, TX 78041
Webb County (210) 225-0607
LAREDO OMI, INC
Clinic/Center (Magnetic Resonance Imaging (MRI))
209 W VILLAGE BLVD, SUITE 6
LAREDO, TX 78041
Webb County (956) 728-1177

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 Oscar Benavides's NPI number?

The NPI number for Oscar Benavides is 1356493977. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Oscar Benavides located?

Oscar Benavides practices at 209 W Village Blvd Ste 11, Laredo, TX 78041. The listed phone number is (956) 725-5210.

What is Oscar Benavides's specialty?

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

Is Oscar Benavides enrolled in Medicare?

Yes. Oscar 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 Oscar 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 Oscar 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 Oscar Benavides affiliated with any hospitals?

According to CMS data, Oscar Benavides is affiliated with Laredo Medical Center and Doctors Hospital Of Laredo.

When was this NPI record last updated?

The NPPES record for Oscar Benavides was last updated on October 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.