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WILFRIDO ANTONIO BENITEZ MD
NPI 1629026695
Family Medicine in Hialeah, FL

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
686 E 49TH ST, HIALEAH, FL 33013(305) 696-7921(305) 688-9671 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2020, Oct 24, 2019 (2 updates tracked since 2019).

About Wilfrido Antonio Benitez Md NPPES

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

WILFRIDO ANTONIO BENITEZ MD (NPI 1629026695) is an individual family medicine provider in Hialeah, Florida, licensed in Florida (ME0068516) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1629026695
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILFRIDO ANTONIO BENITEZCredential: MD
Location Address686 E 49TH STHialeah, FL 33013-1964
Mailing Address521 Raven AveMiami Springs, FL 33166-3950 · (305) 696-7921 · Fax (305) 688-9671
Phone(305) 696-7921
Fax(305) 688-9671
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 30, 20202 updates tracked since enumeration
NPPES CertifiedJuly 30, 2020
✔ NPI 1629026695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0068516
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.

686 E 49TH ST, Hialeah, FL 33013
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Other Identifiers 1

Medicaid378278600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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

Wilfrido Antonio Benitez 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 ID3678602604
PECOS Enrollment IDI20100528000618
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.

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.
44 services15 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 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33013 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers33 claims92 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims27 services$1.06 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims880 services$0.07 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims550 services$0.11 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.47 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,300 services$0.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

FLORIDA PHYSICIANS GROUP INC
General Practice
686 E 49TH ST
HIALEAH, FL 33013
Miami-Dade County (305) 696-7921
FLORIDA PHYSICIANS GROUP INC
General Practice
686 E 49TH ST
HIALEAH, FL 33013
Miami-Dade County (305) 696-7921

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 Wilfrido Benitez's NPI number?

The NPI number for Wilfrido Benitez is 1629026695. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Wilfrido Benitez located?

Wilfrido Benitez practices at 686 E 49th St, Hialeah, FL 33013. The listed phone number is (305) 696-7921.

What is Wilfrido Benitez's specialty?

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

Is Wilfrido Benitez enrolled in Medicare?

Yes. Wilfrido Benitez 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 Wilfrido Benitez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Wilfrido Benitez 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 Wilfrido Benitez was last updated on July 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.