CLINT BENGE M.D.
NPI 1710367719
Orthopaedic Surgery in Sioux Falls, SD

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104(605) 328-2663 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 27, 2022, Jun 1, 2020 (2 updates tracked since 2020).

About Clint Benge M.d. NPPES

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

CLINT BENGE M.D. (NPI 1710367719) is an individual orthopaedic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (12693) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2015).

NPPES Registry Identity

NPI1710367719
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCLINT BENGECredential: M.D.
Location Address1210 W 18TH ST STE G01Sioux Falls, SD 57104-4651
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateOctober 20, 20252 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
NPI 1710367719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in SD · 12693 Licensed in IA · MD-49286 Licensed in KS · 94-08611
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 73163 (WI)
1210 W 18TH ST STE G01, Sioux Falls, SD 57104

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

Clint Benge 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 ID42524159
PECOS Enrollment IDI20220203002093
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 4

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.
66 services58 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.
40 services40 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
36 services34 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.
29 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Chamberlain Medical Center

Critical Access Hospitals · Chamberlain, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431329
Location300 S ByronChamberlain, SD 57325 · Brule County
Emergency services

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431333
Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

Orthopaedic Surgery (Hand Surgery)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Orthopaedic Surgery
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Orthopaedic Surgery
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Orthopaedic Surgery
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104

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 Clint Benge's NPI number?

The NPI number for Clint Benge is 1710367719. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Clint Benge located?

Clint Benge practices at 1210 W 18th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 328-2663.

What is Clint Benge's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Clint Benge enrolled in Medicare?

Yes. Clint Benge 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 Clint Benge accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Clint Benge 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 Clint Benge affiliated with any hospitals?

According to CMS data, Clint Benge is affiliated with Sanford Worthington Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center, Sanford Chamberlain Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Clint Benge was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.