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DR. DAVID MICHAEL BENGLIS JR. M.D.
NPI 1669675641
Neurological Surgery in Atlanta, GA

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
2001 PEACHTREE RD NE, SUITE 575, ATLANTA, GA 30309(404) 350-0106(404) 350-0176 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Michael Benglis Jr. M.d. NPPES

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

DR. DAVID MICHAEL BENGLIS JR. M.D. (NPI 1669675641) is an individual neurological surgery provider in Atlanta, Georgia, licensed in Georgia (065525) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2004).

NPPES Registry Identity

NPI1669675641
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. DAVID MICHAEL BENGLIS JR.Credential: M.D.
Location Address2001 PEACHTREE RD NE, SUITE 575Atlanta, GA 30309-1476
Mailing Address2001 Peachtree Rd Ne, Suite 575Atlanta, GA 30309-1476 · (404) 350-0106 · Fax (404) 350-0176
Phone(404) 350-0106
Fax(404) 350-0176
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2004
Enumeration DateJune 7, 2007
Last NPPES UpdateMarch 9, 2015
✔ NPI 1669675641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in GA · 065525
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2001 PEACHTREE RD NE, Atlanta, GA 30309
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Other Identifiers 1

Other202I144191GA · Medicare Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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. David Michael Benglis Jr. M.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 ID3274711973
PECOS Enrollment IDI20110628000842
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 6

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.

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.
113 services113 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.
108 services83 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.
72 services65 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
32 services15 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services17 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
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.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%64 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%64 patients5/55-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 20

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

ATLANTA WOMEN'S OB GYN PC 2 LLC
Obstetrics & Gynecology
2001 PEACHTREE RD NE, SUITE 640
ATLANTA, GA 30309
Fulton County (404) 943-0205
EDWIN LADD JONES III MD
Orthopaedic Surgery
2001 PEACHTREE RD NE, STE 705
ATLANTA, GA 30309
Fulton County (404) 355-0745
BRUCE ALAN CASSIDY M.D.
Internal Medicine (Pulmonary Disease)
2001 PEACHTREE RD NE, SUITE 435
ATLANTA, GA 30309
Fulton County (404) 352-1994
BARBARA EVANS CST
2001 PEACHTREE RD NE, SUITE 705
ATLANTA, GA 30309
Fulton County (404) 355-0743
FREDA ELLEN WALL PA-C
Physician Assistant (Surgical)
2001 PEACHTREE RD NE, STE 645
ATLANTA, GA 30309
Fulton County (404) 350-0106
PEACHTREE PULMONARY CONSULTANTS, PC
Internal Medicine (Critical Care Medicine)
2001 PEACHTREE RD NE, SUITE 435
ATLANTA, GA 30309
Fulton County (404) 352-1994
DR. HOWARD C CHANDLER JR. M.D.
Neurological Surgery
2001 PEACHTREE RD NE, SUITE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050
GARY ROBERT GROPPER MD
Neurological Surgery
2001 PEACHTREE RD NE, SUITE 575
ATLANTA, GA 30309
Fulton County (404) 350-0106

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 David Benglis's NPI number?

The NPI number for David Benglis is 1669675641. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is David Benglis located?

David Benglis practices at 2001 Peachtree Rd NE Suite 575, Atlanta, GA 30309. The listed phone number is (404) 350-0106.

What is David Benglis's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is David Benglis enrolled in Medicare?

Yes. David Benglis 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 David Benglis accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list David Benglis 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 David Benglis affiliated with any hospitals?

According to CMS data, David Benglis is affiliated with Piedmont Hospital, Piedmont Fayette Hospital, Piedmont Mountainside Hospital Inc and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for David Benglis was last updated on March 9, 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.