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THEODORE BENS DPM
NPI 1669562815
Podiatrist in Taylor, MI

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9224 PELHAM RD, TAYLOR, MI 48180(734) 284-7600(313) 292-8430 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Bens Dpm NPPES

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

THEODORE BENS DPM (NPI 1669562815) is an individual podiatrist in Taylor, Michigan, licensed in Michigan (5901001481) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1669562815
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTHEODORE BENSCredential: DPM
Location Address9224 PELHAM RDTaylor, MI 48180-3832
Mailing Address9224 Pelham RdTaylor, MI 48180-3832 · (734) 284-7600 · Fax (313) 292-8430
Phone(734) 284-7600
Fax(313) 292-8430
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 16, 2006
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1669562815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MI · 5901001481
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
9224 PELHAM RD, Taylor, MI 48180
Open in Google Maps ↗

Other Identifiers 2

Other4858255590MI · Bcbsm
Medicaid2649282MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

Theodore Bens Dpm 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 ID8820020548
PECOS Enrollment IDI20200630001620
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 14

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,967 services786 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
545 services333 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
470 services191 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
326 services146 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
226 services123 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
219 services219 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48180 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

DR. PAUL LING TAI D.P.M.
Podiatrist
9224 PELHAM RD
TAYLOR, MI 48180
Wayne County (313) 292-8400
DR. ROBERT A YAGOOBIAN DPM
Podiatrist
9224 PELHAM RD
TAYLOR, MI 48180
Wayne County (313) 292-8400

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 Theodore Bens's NPI number?

The NPI number for Theodore Bens is 1669562815. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Theodore Bens located?

Theodore Bens practices at 9224 Pelham Rd, Taylor, MI 48180. The listed phone number is (734) 284-7600.

What is Theodore Bens's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Theodore Bens enrolled in Medicare?

Yes. Theodore Bens 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 Theodore Bens accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Theodore Bens 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 Theodore Bens was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.