JAMES R. BENZIE M.D.
NPI 1689696916
Family Medicine in West Saint Paul, MN

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
234 WENTWORTH AVE E, WEST SAINT PAUL, MN 55118(651) 788-4444(651) 455-3354 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 26, 2023, Oct 16, 2019, Nov 6, 2018 (3 updates tracked since 2018).

About James R. Benzie M.d. NPPES

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

JAMES R. BENZIE M.D. (NPI 1689696916) is an individual family medicine provider in West Saint Paul, Minnesota, licensed in Minnesota (45663) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Minnesota Medical School (2002).

NPPES Registry Identity

NPI1689696916
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES R. BENZIECredential: M.D.
Location Address234 WENTWORTH AVE EWest Saint Paul, MN 55118-3525
Mailing Address2025 Sloan Pl Ste 35Saint Paul, MN 55117-2092 · (651) 772-1572 · Fax (651) 772-1889
Fax(651) 455-3354
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2002
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1689696916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 45663
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.

234 WENTWORTH AVE E, West Saint Paul, MN 55118

Other Identifiers 1

Medicaid480693000MN

Accepted 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

James R. Benzie 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 ID8123058120
PECOS Enrollment IDI20050819000043
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 16

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.
273 services156 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
177 services136 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
100 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
98 services98 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.
90 services66 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
45 services44 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55118 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 6

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
10 suppliers33 claims61 services$5.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims16 services$0.87 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$11.87 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$8.53 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054
DME-Orthotic Devices · category DF010N
1 supplier15 claims660 services$1.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.66 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 17

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

Family Medicine
234 WENTWORTH AVE E
SAINT PAUL, MN 55118
Family Medicine
234 WENTWORTH AVE E
WEST ST PAUL, MN 55118
Nurse Practitioner
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Physician Assistant
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Non-Pharmacy Dispensing Site
234 WENTWORTH AVE E
WEST ST PAUL, MN 55118
Nurse Practitioner (Family)
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Family Medicine
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118
Pharmacist (Ambulatory Care)
234 WENTWORTH AVE E
WEST SAINT PAUL, MN 55118

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 James Benzie's NPI number?

The NPI number for James Benzie is 1689696916. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is James Benzie located?

James Benzie practices at 234 Wentworth Ave E, West Saint Paul, MN 55118. The listed phone number is (651) 788-4444.

What is James Benzie's specialty?

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

Is James Benzie enrolled in Medicare?

Yes. James Benzie 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 James Benzie accept?

Health plans from HealthPartners and Medica list James Benzie 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 James Benzie affiliated with any hospitals?

According to CMS data, James Benzie is affiliated with M Health Fairview University Of Mn and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for James Benzie was last updated on October 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.