Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAROL BENSON P.A.
NPI 1518917996
Physician Assistant in Warrenton, VA

Active since May 10, 2006PECOS Enrolled
550 BROADVIEW AVE STE 102, WARRENTON, VA 20186(888) 628-8272 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Apr 1, 2025, Feb 8, 2016 and 1 more (4 updates tracked since 2016).

About Carol Benson P.a. NPPES

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

CAROL BENSON P.A. (NPI 1518917996) is an individual physician assistant in Warrenton, Virginia, licensed in Virginia (0110840221) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Novant Health Uva Health System Culpeper Med Cente, and maintains a secondary practice location in Manassas.

NPPES Registry Identity

NPI1518917996
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROL BENSONCredential: P.A.
Location Address550 BROADVIEW AVE STE 102Warrenton, VA 20186-2036
Mailing AddressPo Box 101Stevenson, MD 21153-0101 · (888) 628-8272
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1985
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
NPI 1518917996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110840221
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
550 BROADVIEW AVE STE 102, Warrenton, VA 20186

Secondary Practice Location 1

Location 19161 Liberia Ave Ste 400AManassas, VA 20110-1727 · Phone (888) 628-8272

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

Carol Benson P.a. 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 ID5496742447
PECOS Enrollment IDI20040429001454
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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
94 services67 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.
66 services65 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
49 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
30 services24 patients
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573
This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20186 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%58 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Physician Assistant
550 BROADVIEW AVE STE 102
WARRENTON, VA 20186
Radiology (Vascular & Interventional Radiology)
550 BROADVIEW AVE STE 102
WARRENTON, VA 20186
Radiology (Vascular & Interventional Radiology)
550 BROADVIEW AVE STE 102
WARRENTON, VA 20186
Radiology (Diagnostic Radiology)
550 BROADVIEW AVE STE 102
WARRENTON, VA 20186
Radiology (Vascular & Interventional Radiology)
550 BROADVIEW AVE STE 102
WARRENTON, VA 20186
Radiology (Diagnostic Radiology)
550 BROADVIEW AVE STE 102
WARRENTON, VA 20186
Physician Assistant
550 BROADVIEW AVE STE 102
WARRENTON, VA 20186
Physician Assistant
550 BROADVIEW AVE STE 102
WARRENTON, VA 20186

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 Carol Benson's NPI number?

The NPI number for Carol Benson is 1518917996. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Carol Benson located?

Carol Benson practices at 550 Broadview Ave Ste 102, Warrenton, VA 20186. The listed phone number is (888) 628-8272.

What is Carol Benson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carol Benson enrolled in Medicare?

Yes. Carol Benson 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.

Is Carol Benson affiliated with any hospitals?

According to CMS data, Carol Benson is affiliated with Novant Health Uva Health System Culpeper Med Cente.

When was this NPI record last updated?

The NPPES record for Carol Benson was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.