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DR. SCOTT WALD BENNINGHOVEN MD
NPI 1528189651
Surgery in Gilroy, CA

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
8833 MONTEREY RD STE F, GILROY, CA 95020(408) 848-3799(408) 848-5490 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Scott Wald Benninghoven Md NPPES

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

DR. SCOTT WALD BENNINGHOVEN MD (NPI 1528189651) is an individual surgery provider in Gilroy, California, licensed in California (G55118) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1984).

NPPES Registry Identity

NPI1528189651
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. SCOTT WALD BENNINGHOVENCredential: MD
Location Address8833 MONTEREY RD STE FGilroy, CA 95020-7200
Mailing Address8833 Monterey Rd Ste FGilroy, CA 95020-7200 · (408) 848-3799 · Fax (408) 848-5490
Phone(408) 848-3799
Fax(408) 848-5490
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1984
Enumeration DateApril 3, 2007
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1528189651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G55118
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8833 MONTEREY RD STE F, Gilroy, CA 95020
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Other Identifiers 3

Medicare UPINE38311CA
Medicaid00G551180CA
Medicare ID-Type Unspecified00G551180CA

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. Scott Wald Benninghoven 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 ID2668439100
PECOS Enrollment IDI20041215001005
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 2

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95020 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

Other Providers at the Same Location NPPES

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

JOHN SARANTO MD AND SCOTT BENNINGHOVEN MD A JOINT VENTURE
Surgery
8833 MONTEREY RD STE F
GILROY, CA 95020
Santa Clara County (408) 848-3799

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 Scott Benninghoven's NPI number?

The NPI number for Scott Benninghoven is 1528189651. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Scott Benninghoven located?

Scott Benninghoven practices at 8833 Monterey Rd Ste F, Gilroy, CA 95020. The listed phone number is (408) 848-3799.

What is Scott Benninghoven's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Scott Benninghoven enrolled in Medicare?

Yes. Scott Benninghoven 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.

When was this NPI record last updated?

The NPPES record for Scott Benninghoven was last updated on September 27, 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.