DR. MICHAEL BENNINGHOFF DO
NPI 1366562605
Internal Medicine - Pulmonary Disease in Newark, DE

Active since March 30, 2007PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-3475 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 11, 2022, Nov 22, 2017 (2 updates tracked since 2017).

About Dr. Michael Benninghoff Do NPPES

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

DR. MICHAEL BENNINGHOFF DO (NPI 1366562605) is an individual pulmonary disease provider in Newark, Delaware, licensed in Delaware (C2-0008718) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Philadelphia College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1366562605
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHAEL BENNINGHOFFCredential: DO
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-2360
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateMarch 30, 2007
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
NPI 1366562605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in DE · C2-0008718
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License OS012487 (PA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License C2-0008718 (DE)
4755 OGLETOWN STANTON RD, Newark, DE 19718

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. Michael Benninghoff Do 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 ID6709771314
PECOS Enrollment IDI20081114000027, I20200528002250
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
176 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services16 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Pathology (Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Pathology (Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Pathology (Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Pathology (Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Pathology (Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Obstetrics & Gynecology
4755 OGLETOWN STANTON RD, DEPT. OF OB/GYN
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD, NEWARK
NEWARK, DE 19718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366562605, enumerated as an "individual" on March 30, 2007.

The provider is located at 4755 OGLETOWN STANTON RD NEWARK, DE 19718 and the phone number is (302) 733-3475.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.

Michael Benninghoff is affiliated with: UNION HOSPITAL OF CECIL COUNTY.