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DR. EDWARD J BENAK MD
NPI 1376612457
Pathology - Anatomic Pathology & Clinical Pathology in Montgomery, AL

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
225B WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117(334) 263-6228(334) 265-9136 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward J Benak Md NPPES

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

DR. EDWARD J BENAK MD (NPI 1376612457) is an individual anatomic pathology & clinical pathology provider in Montgomery, Alabama, licensed in Alabama (10291) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1981).

NPPES Registry Identity

NPI1376612457
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. EDWARD J BENAKCredential: MD
Location Address225B WINTON M BLOUNT LOOPMontgomery, AL 36117-3507
Mailing Address225b Winton M Blount LoopMontgomery, AL 36117-3507 · (334) 263-6228 · Fax (334) 265-9136
Phone(334) 263-6228
Fax(334) 265-9136
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1981
Enumeration DateNovember 6, 2006
Last NPPES UpdateSeptember 12, 2012
✔ NPI 1376612457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in AL · 10291
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
225B WINTON M BLOUNT LOOP, Montgomery, AL 36117
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Other Identifiers 3

Medicare UPINC89940AL
Medicare ID-Type Unspecified86420AL
Medicaid000086420AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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. Edward J Benak 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 ID8820284359
PECOS Enrollment IDI20101123001069
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 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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
434 services225 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
36 services33 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
16 services13 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 5

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

DR. RICHARD W MILLER JR. MD
Specialist
225B WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 263-6228
MS. KELLEY L TAYLOR MD
Pathology (Anatomic Pathology & Clinical Pathology)
225B WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 623-6228
DR. TIMOTHY CLARK BARROWMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
225B WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 263-6228
DR. LEMUEL DURRELL GORDEN III M.D.
Specialist
225B WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 263-6228
LABORATORY ACQUISITION COMPANY PC
Clinical Medical Laboratory
225B WINTON M BLOUNT LOOP
MONTGOMERY, AL 36117
Montgomery County (334) 263-6228

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 Edward Benak's NPI number?

The NPI number for Edward Benak is 1376612457. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Edward Benak located?

Edward Benak practices at 225B Winton M Blount Loop, Montgomery, AL 36117. The listed phone number is (334) 263-6228.

What is Edward Benak's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Edward Benak enrolled in Medicare?

Yes. Edward Benak 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 Edward Benak accept?

Health plans from Blue Cross and Blue Shield of Alabama list Edward Benak 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 Edward Benak was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.