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BENJAMIN THOMAS PAGANO CNS
NPI 1669722732
Clinical Nurse Specialist in Austin, TX

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
83.36/100
CMS Quality Rating
6500 N MOPAC, BLDG.3 , STE.200, AUSTIN, TX 78731(512) 458-8400(512) 458-8593 Get Directions Write a Review

NPPES record last updated: April 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Thomas Pagano Cns NPPES

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

BENJAMIN THOMAS PAGANO CNS (NPI 1669722732) is an individual clinical nurse specialist in Austin, Texas, licensed in Texas (792507) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1669722732
Entity TypeIndividualMale
Primary Taxonomy364S00000X
Provider Legal NameBENJAMIN THOMAS PAGANOCredential: CNS
Location Address6500 N MOPAC, BLDG.3 , STE.200Austin, TX 78731-3282
Mailing Address6500 N Mopac, Bldg.3 , Ste.200Austin, TX 78731-3282 · (512) 458-8400 · Fax (512) 458-8593
Phone(512) 458-8400
Fax(512) 458-8593
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 14, 2012
Last NPPES UpdateApril 8, 2014
✔ NPI 1669722732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in TX · 792507
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
6500 N MOPAC, Austin, TX 78731
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Benjamin Thomas Pagano Cns 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 ID8820247604
PECOS Enrollment IDI20121011000594
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 3

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 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.
437 services323 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
108 services74 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.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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.

83.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.84
Promoting Interoperability87
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
30 suppliers67 claims316 services$6.41 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers15 claims34 services$1.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers145 claims148 services$190.30 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 12

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

JANE NELSON M.D., P.A.
Specialist
6500 N MOPAC, BUILDING 2, SUITE 2205
AUSTIN, TX 78731
Travis County (512) 343-1878
STEVIE RAY RD,LD
Dietitian, Registered
6500 N MOPAC, BLDG III, STE 220
AUSTIN, TX 78731
Travis County (512) 338-4500
MRS. CASSIE L FILLMAN R.D.
Dietitian, Registered
6500 N MOPAC, BLDG. III, STE 220
AUSTIN, TX 78731
Travis County (512) 338-4500
DR. STEPHEN MARSHAL SHERWOOD DDS
Dentist (Pediatric Dentistry)
6500 N MOPAC, BLDG 2 STE 2206
AUSTIN, TX 78731
Travis County (512) 454-6936
STEPHEN M SHERWOOD DDS PLLC
Dentist (Pediatric Dentistry)
6500 N MOPAC, BLDG 2 SUITE 2206
AUSTIN, TX 78731
Travis County (512) 454-6936
ELIZABETH HANAWALT R.D.
Dietitian, Registered
6500 N MOPAC, BLDG III, STE 220
AUSTIN, TX 78731
Travis County (512) 338-4500
JESSICA XIAN CHEN RD,LD
Dietitian, Registered
6500 N MOPAC, BLDG III, STE 220
AUSTIN, TX 78731
Travis County (512) 338-4500
JACQUELYN DIANE RALEIGH RD,LD,CDE
Dietitian, Registered
6500 N MOPAC, BLDG III, STE 220
AUSTIN, TX 78731
Travis County (512) 250-9140

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 Benjamin Pagano's NPI number?

The NPI number for Benjamin Pagano is 1669722732. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Benjamin Pagano located?

Benjamin Pagano practices at 6500 N Mopac Bldg.3 , Ste.200, Austin, TX 78731. The listed phone number is (512) 458-8400.

What is Benjamin Pagano's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Benjamin Pagano enrolled in Medicare?

Yes. Benjamin Pagano 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 Benjamin Pagano accept?

Health plans from Moda Health Plan, Inc. list Benjamin Pagano 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 Benjamin Pagano was last updated on April 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.