DR. KARL G BENZIO JR. MD
NPI 1699830372
Psychiatry & Neurology - Psychiatry in Doylestown, PA

Active since December 24, 2006Opted out of Medicare · through Sep 1, 2026
800 W STATE ST, SUITE 302, DOYLESTOWN, PA 18901(215) 340-2686(215) 340-4858 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karl G Benzio Jr. Md NPPES

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

DR. KARL G BENZIO JR. MD (NPI 1699830372) is an individual psychiatry provider in Doylestown, Pennsylvania, licensed in Pennsylvania (MD049878L) and active in the NPI registry since December 2006. He has opted out of Medicare through September 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699830372
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KARL G BENZIO JR.Credential: MD
Location Address800 W STATE ST, SUITE 302Doylestown, PA 18901-2250
Mailing Address108 Ridgeview LnDoylestown, PA 18901-2000 · (215) 340-9136 · Fax (215) 340-4858
Fax(215) 340-4858
Sole ProprietorNo
Enumeration DateDecember 24, 2006
Last NPPES UpdateApril 24, 2017
NPI 1699830372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in PA · MD049878L Licensed in FL · ME127126
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
800 W STATE ST, Doylestown, PA 18901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Karl G Benzio Jr. Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2014 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2014
Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

Voluntary or Charitable
800 W STATE ST, SUITE 302
DOYLESTOWN, PA 18901
Family Medicine
800 W STATE ST, STE. 102
DOYLESTOWN, PA 18901
Orthopaedic Surgery
800 W STATE ST, SUITE 202
DOYLESTOWN, PA 18901
In Home Supportive Care
800 W STATE ST, SUITE 103
DOYLESTOWN, PA 18901
Counselor (Professional)
800 W STATE ST, SUITE 303
DOYLESTOWN, PA 18901
Specialist
800 W STATE ST, SUITE 202
DOYLESTOWN, PA 18901
Home Health
800 W STATE ST, STE 103
DOYLESTOWN, PA 18901
Marriage & Family Therapist
800 W STATE ST, SUITE 303
DOYLESTOWN, PA 18901

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 Karl Benzio's NPI number?

The NPI number for Karl Benzio is 1699830372. It was assigned to this individual provider in the NPPES registry on December 24, 2006.

Where is Karl Benzio located?

Karl Benzio practices at 800 W State St Suite 302, Doylestown, PA 18901. The listed phone number is (215) 340-2686.

What is Karl Benzio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Karl Benzio enrolled in Medicare?

No. Karl Benzio has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Karl Benzio was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.