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SAUL BENITEZ JR. ACNS
NPI 1386971794
Clinical Nurse Specialist - Adult Health in Austin, TX

Active since November 05, 2009PECOS Enrolled
4101 JAMES CASEY ST, SUITE 330, AUSTIN, TX 78745(512) 816-8042(512) 804-2360 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2016, Sep 29, 2015 (2 updates tracked since 2015).

About Saul Benitez Jr. Acns NPPES

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

SAUL BENITEZ JR. ACNS (NPI 1386971794) is an individual adult health provider in Austin, Texas, licensed in Texas (747353) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386971794
Entity TypeIndividualMale
Primary Taxonomy364SA2200X
Provider Legal NameSAUL BENITEZ JR.Credential: ACNS
Location Address4101 JAMES CASEY ST, SUITE 330Austin, TX 78745-3325
Mailing Address4101 James Casey St, Suite 330Austin, TX 78745-3325 · (512) 816-8042 · Fax (512) 804-2360
Phone(512) 816-8042
Fax(512) 804-2360
Sole ProprietorYes
Enumeration DateNovember 5, 2009
Last NPPES UpdateMarch 4, 20162 updates tracked since enumeration
✔ NPI 1386971794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in TX · 747353
4101 JAMES CASEY ST, Austin, TX 78745
Open in Google Maps ↗

Other Identifiers 6

Other831N38TX · Bcbs
Medicare PINTXB117182TX
Medicare PINTXB117793TX
Medicaid211153603TX
OtherP00976278TX · Railroad Medicare
Medicaid211153602TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saul Benitez Jr. Acns 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 Saul Benitez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Davids Heart & Vascular, PLLC
5.8 mi
Cardiovascular Disease
3801 N LAMAR BLVD, STE 300
Austin, TX 78756
  • Reassigned Medicare billing, Texas enrollment
  • 197 clinicians in this Medicare group
NPI 1700887700 (512) 206-3600

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

Areas of Expertise CMS Part B claims 7

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.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
20,164 services58 patients
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.
87 services59 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.
44 services40 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
43 services39 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
33 services29 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.
33 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims16 services$63.81 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 18

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

SOUTH AUSTIN OB-GYN
Obstetrics & Gynecology
4101 JAMES CASEY ST, STE 330
AUSTIN, TX 78745
Travis County (512) 373-4000
MS. KATIE MARIE GOOD PA-C
Physician Assistant
4101 JAMES CASEY ST, SUITE 100
AUSTIN, TX 78745
Travis County (512) 447-2202
DR. RYAN MENZIES TIERNEY M.D.
Radiology (Radiation Oncology)
4101 JAMES CASEY ST, SUTIE 100
AUSTIN, TX 78745
Travis County (512) 447-2202
REBECCA MONTI A.G.C.N.S.-B.C
Clinical Nurse Specialist
4101 JAMES CASEY ST, SUITE 100
AUSTIN, TX 78745
Travis County (512) 447-2202
DR. DENNIS A TWEEDY M.D.
Internal Medicine (Hematology & Oncology)
4101 JAMES CASEY ST, SUITE 250
AUSTIN, TX 78745
Travis County (512) 419-9733
TOPS PHARMACY SERVICES - AUSTIN SOUTH
Pharmacy (Community/Retail Pharmacy)
4101 JAMES CASEY ST, SUITE 100
AUSTIN, TX 78745
Travis County (512) 416-5132
DR. PUNIT CHADHA MD
Internal Medicine (Medical Oncology)
4101 JAMES CASEY ST, SUITE 100
AUSTIN, TX 78745
Travis County (512) 447-2202
DR. DINA JOSEPH TEBCHERANY MD
Internal Medicine (Medical Oncology)
4101 JAMES CASEY ST, 100
AUSTIN, TX 78745
Travis County (512) 447-2202

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 Saul Benitez's NPI number?

The NPI number for Saul Benitez is 1386971794. It was assigned to this individual provider in the NPPES registry on November 5, 2009.

Where is Saul Benitez located?

Saul Benitez practices at 4101 James Casey St Suite 330, Austin, TX 78745. The listed phone number is (512) 816-8042.

What is Saul Benitez's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Saul Benitez enrolled in Medicare?

Yes. Saul Benitez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Saul Benitez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saul Benitez reassigns Medicare benefits to St Davids Heart & Vascular, PLLC (Austin, 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 Saul Benitez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saul Benitez accept?

Health plans from Moda Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Saul Benitez 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 Saul Benitez was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.