DONALD E BENSON MD
NPI 1376599183
Internal Medicine in Stephenville, TX

Active since May 25, 2006PECOS Enrolled
75.27/100
CMS Quality Rating
411 N BELKNAP ST, STEPHENVILLE, TX 76401(817) 250-4906(817) 250-4815 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald E Benson Md NPPES

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

DONALD E BENSON MD (NPI 1376599183) is an individual internal medicine provider in Stephenville, Texas, licensed in Texas (N6171) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376599183
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDONALD E BENSONCredential: MD
Location Address411 N BELKNAP STStephenville, TX 76401-3415
Mailing Address411 N Belknap StStephenville, TX 76401-3415 · (817) 250-4906 · Fax (817) 250-4815
Fax(817) 250-4815
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 4, 2019
✔ NPI 1376599183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · N6171✔ Licensed in OH · 35052151
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
411 N BELKNAP ST, Stephenville, TX 76401

Other Identifiers 3

Medicaid0663581OH
OtherP00190765Rail Road Medicare
Other000000352230Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald E Benson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Benson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76401 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 18

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

Nurse Anesthetist, Certified Registered
411 N BELKNAP ST
STEPHENVILLE, TX 76401
Registered Nurse
411 N BELKNAP ST
STEPHENVILLE, TX 76401
Anesthesiology
411 N BELKNAP ST
STEPHENVILLE, TX 76401
Dietitian, Registered
411 N BELKNAP ST
STEPHENVILLE, TX 76401
Medicare Defined Swing Bed Unit
411 N BELKNAP ST
STEPHENVILLE, TX 76401
Family Medicine
411 N BELKNAP ST
STEPHENVILLE, TX 76401
Emergency Medicine
411 N BELKNAP ST
STEPHENVILLE, TX 76401
Internal Medicine
411 N BELKNAP ST
STEPHENVILLE, TX 76401

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 Donald Benson's NPI number?

The NPI number for Donald Benson is 1376599183. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Donald Benson located?

Donald Benson practices at 411 N Belknap St, Stephenville, TX 76401. The listed phone number is (817) 250-4906.

What is Donald Benson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Donald Benson enrolled in Medicare?

Yes. Donald Benson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Benson reassigns Medicare benefits to Texas Health Physicians Group (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Benson was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.