STEPHEN BENECK M.D.
NPI 1437240140
Physical Medicine & Rehabilitation in Wilmington, DE
NPI Status: Active since September 27, 2006
Contact Information
2006 FOULK RD STE B
WILMINGTON, DE
ZIP 19810
Phone: (302) 529-8783
Fax: (302) 529-7470
- Individual
- Male
- Physical Medicine & Rehabilitation
- PECOS Enrolled
- Medicare Quality Reporting
About STEPHEN BENECK
This page provides the complete NPI Profile along with additional information for Stephen Beneck, a provider established in Wilmington, Delaware with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1437240140 assigned on September 2006. The practitioner's primary taxonomy code is 208100000X with license number C10004585 (DE). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1437240140
- Provider Name
- STEPHEN BENECK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2006 FOULK RD STE B WILMINGTON, DE 19810
- Location Phone
- (302) 529-8783
- Location Fax
- (302) 529-7470
- Mailing Address
- 2006 FOULK RD STE B WILMINGTON, DE 19810
- Mailing Phone
- (302) 529-8783
- Mailing Fax
- (302) 529-7470
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-27-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C10004585
- License State
- DE
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 439833 | OTHER (01) | DE | AMERIHEALTH-PPO |
| 439833R92 | MEDICARE ID-TYPE UNSPECIFIED (04) | DE | |
| 250008131 | OTHER (01) | DE | RAILROAD MEDICARE |
| 510329923 | OTHER (01) | DE | UNITED HEALTH CARE |
| P1860867 | OTHER (01) | DE | OXFORD HEALTH PLAN |
| 0975123 | OTHER (01) | DE | AETNA-HMO |
| 293737 | OTHER (01) | DE | MAMSI/OPTIMUM CHOICE |
| 510329923 | OTHER (01) | DE | TRICARE STANDARD |
| 386606954 | OTHER (01) | DE | BC/BS |
| F35526 | MEDICARE UPIN (02) | DE | |
| 4832427 | OTHER (01) | DE | CIGNA |
| 0000681801 | MEDICAID (05) | DE | |
| 0000681801 | OTHER (01) | DE | DE PHYSICIAN CARE |
| 0283766000 | OTHER (01) | DE | AMERIHEALTH HMO |
| 4398882 | OTHER (01) | DE | AETNA - PPO |
| 46958 | OTHER (01) | DE | COVENTRY |
Medicare Participation & PECOS Enrollment Status
Stephen Beneck is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Needle measurement of electrical activity in arm or leg muscles, complete study
Nerve conduction, 3-4 studies
Nerve conduction, 5-6 studies
Nerve conduction, 7-8 studies
Nerve conduction, 9-10 studies
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
This service was performed 311 times for 194 patientsNerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.
This service was performed 26 times for 26 patientsNerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
This service was performed 65 times for 63 patientsNerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
This service was performed 59 times for 57 patientsNerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
This service was performed 50 times for 49 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 98% | 1593 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Documentation of Signed Opioid Treatment Agreement | 100% | 85 |
| All patients 18 and older prescribed opiates for longer than six weeks duration who signed an opioid treatment agreement at least once during Opioid Therapy documented in the medical record | ||
| Evaluation or Interview for Risk of Opioid Misuse | 100% | 85 |
| All patients 18 and older prescribed opiates for longer than six weeks duration evaluated for risk of opioid misuse using a brief validated instrument (e.g. Opioid Risk Tool, SOAPP-R) or patient interview documented at least once during Opioid Therapy in the medical record | ||
| Implementation of documentation improvements for practice/process improvements | Yes | N/A |
| Implementation of practices/processes that document care coordination activities (e.g., a documented care coordination encounter that tracks all clinical staff involved and communications from date patient is scheduled for outpatient procedure through day of procedure). | ||
| Improved Practices that Engage Patients Pre-Visit | Yes | N/A |
| Implementation of workflow changes that engage patients prior to the visit, such as a pre-visit development of a shared visit agenda with the patient, or targeted pre-visit laboratory testing that will be resulted and available to the MIPS eligible clinician to review and discuss during the patient’s appointment.. | ||
| Opioid Therapy Follow-up Evaluation | 100% | 85 |
| All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record | ||
| Pain Assessment and Follow-Up | 97% | 1593 |
| Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | 67 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1437240140, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WILMINGTON, DE 19810
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437240140, enumerated as an "individual" on September 27, 2006.
The provider is located at 2006 FOULK RD STE B WILMINGTON, DE 19810 and the phone number is (302) 529-8783.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.
The provider might be accepting Accepts: AmeriHealth, Medicare, Medicaid, Railroad. Please consult your insurance carrier or call the provider to verify.
