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DR. MICHAEL JOHN BENEDICT O.D.
NPI 1558777656
Optometrist in Quincy, IL

Active since July 09, 2014PECOS EnrolledAccepts Medicare Assignment
90.95/100
CMS Quality Rating
1125 HAMPSHIRE ST, QUINCY, IL 62301(217) 222-3937(217) 277-2262 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Apr 30, 2024, Feb 23, 2018 (3 updates tracked since 2018).

About Dr. Michael John Benedict O.d. NPPES

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

DR. MICHAEL JOHN BENEDICT O.D. (NPI 1558777656) is an individual optometrist in Quincy, Illinois, licensed in Illinois (046011845) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mexico, and is a graduate of Indiana University - School Of Optometry (2014).

NPPES Registry Identity

NPI1558777656
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL JOHN BENEDICTCredential: O.D.
Location Address1125 HAMPSHIRE STQuincy, IL 62301-3026
Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550 · Fax (217) 277-2253
Phone(217) 222-3937
Fax(217) 277-2262
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2014
Enumeration DateJuly 9, 2014
Last NPPES UpdateMay 9, 20243 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1558777656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IL · 046011845✔ Licensed in IA · 074559✔ Licensed in MO · 2014031862
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1125 HAMPSHIRE ST, Quincy, IL 62301
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Secondary Practice Location 1

Location 1520 W Jackson StMexico, MO 65265-1937 · Phone (573) 581-7007 · Fax (573) 581-1592

Other Identifiers 2

Medicaid1558777656MO
Medicaid1558777656IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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. Michael John Benedict O.d. 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 ID4385862994
PECOS Enrollment IDI20240515000273
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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
112 services112 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
96 services96 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.
58 services58 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
50 services49 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.
28 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

90.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.04
Improvement Activities40
Cost77.79

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
69%51 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%40 patients1/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%610 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%610 patients3/55-star benchmark: 100%
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 4

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

ERIC A SIECK MD
Ophthalmology
1125 HAMPSHIRE ST
QUINCY, IL 62301
Adams County (217) 222-6550
DR. KELLY ANN DURST-SHARPE O.D.
Optometrist
1125 HAMPSHIRE ST
QUINCY, IL 62301
Adams County (217) 222-6550
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Eyewear Supplier
1125 HAMPSHIRE ST
QUINCY, IL 62301
Adams County (217) 222-6550
HEIDI M HAISLEY OD
Optometrist
1125 HAMPSHIRE ST
QUINCY, IL 62301
Adams County (217) 222-3937

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 Michael Benedict's NPI number?

The NPI number for Michael Benedict is 1558777656. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Michael Benedict located?

Michael Benedict practices at 1125 Hampshire St, Quincy, IL 62301. The listed phone number is (217) 222-3937.

What is Michael Benedict's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Benedict enrolled in Medicare?

Yes. Michael Benedict 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.

What insurance does Michael Benedict accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Michael Benedict 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 Michael Benedict was last updated on May 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.