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DR. TIMOTHY BENIK DO
NPI 1457770943
Pediatrics in Cleveland, OH

Active since April 10, 2014PECOS Enrolled
11100 EUCLID AVE RM 838, CLEVELAND, OH 44106(216) 844-3645 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2022, Mar 17, 2018, Jun 20, 2017 (3 updates tracked since 2017).

About Dr. Timothy Benik Do NPPES

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

DR. TIMOTHY BENIK DO (NPI 1457770943) is an individual pediatrics provider in Cleveland, Ohio, licensed in Ohio (34.012865) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457770943
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. TIMOTHY BENIKCredential: DO
Location Address11100 EUCLID AVE RM 838Cleveland, OH 44106-1716
Mailing Address11100 Euclid Ave Rm 838Cleveland, OH 44106-1716
Phone(216) 844-3645
Sole ProprietorNo
Enumeration DateApril 10, 2014
Last NPPES UpdateFebruary 3, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1457770943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 34.012865
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11100 EUCLID AVE RM 838, Cleveland, OH 44106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Benik Do 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 Timothy Benik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Cleveland Clinic Foundation
0.9 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

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 44106 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Timothy Benik's NPI number?

The NPI number for Timothy Benik is 1457770943. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Timothy Benik located?

Timothy Benik practices at 11100 Euclid Ave Rm 838, Cleveland, OH 44106. The listed phone number is (216) 844-3645.

What is Timothy Benik's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Timothy Benik enrolled in Medicare?

Yes. Timothy Benik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Benik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Benik reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). 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 Timothy Benik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Benik accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Timothy Benik 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 Timothy Benik was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.