KEVIN D BENSON MD
NPI 1649259227
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Sioux Falls, SD

Q: What is Kevin Benson's NPI number?

The NPI number for Kevin Benson is 1649259227. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Kevin Benson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Benson was last updated on December 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 12, 2006PECOS EnrolledAccepts Medicare Assignment

81.6/100

CMS Quality Rating

1500 W 22ND ST, STE 402, SIOUX FALLS, SD 57105(605) 328-8750(605) 328-8751 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2019, Oct 4, 2018 (2 updates tracked since 2018).

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About Kevin D Benson Md NPPES

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

KEVIN D BENSON MD (NPI 1649259227) is an individual urogynecology and reconstructive pelvic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (4585) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1995).

NPPES Registry Identity

NPI1649259227

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameKEVIN D BENSONCredential: MD

Location Address1500 W 22ND ST, STE 402Sioux Falls, SD 57105-7702

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512

Phone(605) 328-8750

Fax(605) 328-8751

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1995

Enumeration DateJanuary 12, 2006

Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration

✔ NPI 1649259227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in SD · 4585

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 4585 (SD)

1500 W 22ND ST, Sioux Falls, SD 57105

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Other Identifiers 1

Medicaid6201200SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Oscar Insurance Company 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

Kevin D Benson 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 ID9638155443

PECOS Enrollment IDI20040624000587, I20040720001564, I20200226000490

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 29

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

5,900 services23 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

348 services201 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.

179 services179 patients

Simple timed assessment of bladder emptying 51736

This procedure measures how well your body disposes of liquid waste. A special device records the speed and amount of liquid released. It helps identify any issues in the waste disposal process. It's simple, quick, and painless.

166 services164 patients

Simple measurement of pressure of urine flow in bladder 51725

This procedure measures the strength of your urine flow. A small, soft tube is gently placed into your body to reach the bladder. It records the pressure while you empty your bladder. It helps check if there are any blockages or issues with bladder control.

165 services165 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.

128 services113 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.

77 services75 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

74 services59 patients

Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming 95972

This procedure involves electronically analyzing an implanted neurostimulator. This device sends electrical pulses to your spinal cord or peripheral nerves to manage pain. The programming is complex, requiring expert analysis to ensure proper functioning.

47 services45 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

46 services44 patients

Insertion of sacral nerve neurostimulator electrode 64581

The insertion of a sacral nerve neurostimulator electrode is a procedure to help manage chronic pain. A small device is placed under the skin near the lower back. This device sends mild electrical pulses to the nerves in the lower spine, helping to control pain signals.

45 services43 patients

Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver 64590

The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.

44 services42 patients

Needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51785

This procedure involves inserting a small needle into muscles near the openings of your body's waste removal systems. The needle records the electrical activity of these muscles, providing essential information about their function. This is a safe, routine process.

43 services41 patients

Repair of prolapsing vaginal vault through vagina 57283

This procedure involves fixing a condition where the top part of the inner passage drops down. This is done through the same passage without any external incisions. It aims to restore normal structure and function.

41 services41 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

38 services23 patients

Repair of bulging of rectum and bladder into vaginal wall 57265

This procedure involves correcting a condition where the rectum and bladder bulge into the vaginal wall, causing discomfort. The operation helps to restore these organs to their normal position, improving comfort and functionality.

38 services38 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

36 services36 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

35 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

32 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

28 services28 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

22 services21 patients

Removal of uterus, tubes, and/or ovaries through vagina, 250.0 g or less 58262

This procedure involves the removal of certain internal parts through a natural body opening. It's done when these parts are causing health issues. The specific parts removed depend on your personal health situation. The procedure is safe and common.

22 services22 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715

This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.

18 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Suture closure of vagina and vaginal opening 57120

This procedure involves the use of stitches to close an opening or wound in the lower part of the female reproductive system. It's typically done to repair a tear or cut, or as part of a surgical procedure. The goal is to promote healing and prevent complications.

15 services15 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

14 services11 patients

Simple timed assessment of bladder emptying 51736

14 services14 patients

Repair of bladder hernia into vaginal wall 57240

This procedure involves fixing a bulge in the bladder that has extended into the wall of the lower body passage. This bulge may cause discomfort or problems with normal body functions. The process realigns the bladder to its correct position, providing relief.

13 services13 patients

Simple measurement of pressure of urine flow in bladder 51725

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161381

Location118 North 7th AvenueSheldon, IA 51201 · Obrien County

Emergency services

Ortonville Area Health Services

Critical Access Hospitals · Ortonville, MN

OwnershipGovernment - Local

CMS Certification Number241342

Location450 Eastvold AveOrtonville, MN 56278 · Big Stone County

Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

81.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.53

Promoting Interoperability

Improvement Activities

Cost

41.99

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers34 claims7,930 services$1.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

KEITH A HANSEN M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

1500 W 22ND ST, STE 102
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7700

LAURIE B LANDEEN M.D.

Obstetrics & Gynecology

1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7700

SHELLEY J MORRISON M.D.

Obstetrics & Gynecology

1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7700

TERRY ENGELMANN CNM

Advanced Practice Midwife

1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7700

RIFAT HUSSAIN MD

Plastic Surgery

1500 W 22ND ST, STE 104
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-0000

VICKIE L REIFF CNM

Midwife

1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-4600

TAMMI K STANGOHR PA-C

Physician Assistant

1500 W 22ND ST, STE 102
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7700

SANFORD CLINIC

Plastic Surgery

1500 W 22ND ST, STE 101
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-0000

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 Kevin Benson's NPI number?

The NPI number for Kevin Benson is 1649259227. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Kevin Benson located?

Kevin Benson practices at 1500 W 22nd St Ste 402, Sioux Falls, SD 57105. The listed phone number is (605) 328-8750.

What is Kevin Benson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Kevin Benson enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Benson accept?

Health plans from HealthPartners, Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Kevin Benson 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.

Is Kevin Benson affiliated with any hospitals?

According to CMS data, Kevin Benson is affiliated with Sanford Sheldon Medical Center, Ortonville Area Health Services, Avera Mckennan Hospital & University Health Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Benson was last updated on December 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.