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MARGARITO BENITEZ FNP
NPI 1699165043
Nurse Practitioner - Adult Health in Laredo, TX

Active since January 23, 2015PECOS EnrolledAccepts Medicare Assignment
1203 WELBY CT, LAREDO, TX 78041(956) 795-8300 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Margarito Benitez Fnp NPPES

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

MARGARITO BENITEZ FNP (NPI 1699165043) is an individual adult health provider in Laredo, Texas, licensed in Texas (AP126594) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699165043
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMARGARITO BENITEZCredential: FNP
Location Address1203 WELBY CTLaredo, TX 78041-1951
Mailing Address3115 Guerra DrLaredo, TX 78045-8888 · (956) 251-3038 · Fax (956) 796-2516
Phone(956) 795-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 23, 2015
Last NPPES UpdateApril 6, 2016
✔ NPI 1699165043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP126594
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP126594 (TX)
1203 WELBY CT, Laredo, TX 78041
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Other Names 1

Professional Name (2)Margarito Benitez Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Margarito Benitez Fnp 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 ID5597055111
PECOS Enrollment IDI20160609000899
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Margarito Benitez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kafob Health LLC
Same address
Internal Medicine
1202 WELBY CT
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
NPI 1437917804 (956) 602-0835
Tmc Provider Group PLLC
128 mi
Urgent Care
335 W. LOOP 1604 SOUTH
San Antonio, TX 78253
  • Reassigned Medicare billing, Texas enrollment
  • 223 clinicians in this Medicare group
NPI 1710647565 (210) 349-5577
Timberland Medical Group
227 mi
Family Medicine
1401 MEDICAL PKWY
Cedar Park, TX 78613
  • Reassigned Medicare billing, Texas enrollment
  • 123 clinicians in this Medicare group
NPI 1528061157 (512) 528-7227
Signify Health Medical Associates, PLLC
401 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.
153 services132 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.
140 services124 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
110 services102 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
76 services27 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
68 services59 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
51 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78041 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
1%150 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%252 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,543 patients5/55-star benchmark: 100%
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…
11%1,249 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 247 patients
88%247 patients4/55-star benchmark: 98%
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 5

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

JD COE III FAMILY NURSE PRACTITIONER SERVICES PLLC
Nurse Practitioner (Family)
1203 WELBY CT
LAREDO, TX 78041
Webb County (956) 794-8840
MR. JESSE D COE III FNP-C
Nurse Practitioner (Family)
1203 WELBY CT
LAREDO, TX 78041
Webb County (956) 794-8840
JUAN ALBERTO NEIRA RN, FNP
Nurse Practitioner (Family)
1203 WELBY CT
LAREDO, TX 78041
Webb County (956) 794-8840
CARLOS N HORNEDO III D.O.
Family Medicine
1203 WELBY CT, STE. 1
LAREDO, TX 78041
Webb County (956) 794-8840
ERIKA MARCELA ESTRADA
Nurse Practitioner (Family)
1203 WELBY CT
LAREDO, TX 78041
Webb County (956) 568-5140

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 Margarito Benitez's NPI number?

The NPI number for Margarito Benitez is 1699165043. It was assigned to this individual provider in the NPPES registry on January 23, 2015. The provider is also known as Margarito Benitez Fnp.

Where is Margarito Benitez located?

Margarito Benitez practices at 1203 Welby Ct, Laredo, TX 78041. The listed phone number is (956) 795-8300.

What is Margarito Benitez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Margarito Benitez enrolled in Medicare?

Yes. Margarito Benitez 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.

Which organizations bill Medicare for Margarito Benitez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margarito Benitez reassigns Medicare benefits to 4 organizations: Kafob Health LLC (Laredo, TX), Tmc Provider Group PLLC (San Antonio, TX), Timberland Medical Group (Cedar Park, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Margarito Benitez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margarito Benitez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Margarito Benitez 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 Margarito Benitez was last updated on April 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.