MICHAEL A BENAVIDES DO
NPI 1568497899
Family Medicine in Dallas, TX

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
1350 N. BUCKNER BLVD, SUITE 101, DALLAS, TX 75218(972) 682-5757(972) 682-6611 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael A Benavides Do NPPES

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

MICHAEL A BENAVIDES DO (NPI 1568497899) is an individual family medicine provider in Dallas, Texas, licensed in Texas (H6044) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (1988).

NPPES Registry Identity

NPI1568497899
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL A BENAVIDESCredential: DO
Location Address1350 N. BUCKNER BLVD, SUITE 101Dallas, TX 75218-3558
Mailing AddressPo Box 570543Dallas, TX 75357-0543 · (972) 682-5757 · Fax (972) 682-6611
Fax(972) 682-6611
Sole ProprietorYes
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1988
Enumeration DateJuly 12, 2006
Last NPPES UpdateOctober 16, 2015
✔ NPI 1568497899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H6044
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1350 N. BUCKNER BLVD, Dallas, TX 75218

Other Identifiers 5

Medicaid1210585-05TX
Medicare PIN404390ZNMCTX
Medicaid1210585-04TX
Medicaid1210585-02TX
Medicare UPINE43847TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael A Benavides Do 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 ID1153467568
PECOS Enrollment IDI20091014000757
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 Reassignments

2

Medicare enrollment records show Michael Benavides reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4001 W 15TH ST STE 245
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 379 clinicians in this Medicare group
Family Medicine
3708 JEFFERSON ST, SUITE A
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Wellmed Medical Group PA
  • 762 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
72 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
68 services34 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.
32 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75218 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$69.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Benavides's NPI number?

The NPI number for Michael Benavides is 1568497899. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Michael Benavides located?

Michael Benavides practices at 1350 N. Buckner Blvd Suite 101, Dallas, TX 75218. The listed phone number is (972) 682-5757.

What is Michael Benavides's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Benavides enrolled in Medicare?

Yes. Michael Benavides 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.

Which organizations bill Medicare for Michael Benavides's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Benavides reassigns Medicare benefits to 2 organizations: Medical Clinic Of North Texas, PLLC (Plano, TX) and Wellmed Medical Group, P.A. (Austin, TX). Each 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 Michael Benavides's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Benavides accept?

Health plans from Antidote Health of TX and Blue Cross and Blue Shield of Texas list Michael Benavides 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 Benavides was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.