WILLIAM BENSEN D.O.
NPI 1750768339
Family Medicine in Spencer, IA

Active since May 02, 2015PECOS Enrolled
116 E 11TH ST STE 101, SPENCER, IA 51301(712) 264-3500 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2018, Nov 28, 2017 (2 updates tracked since 2017).

About William Bensen D.o. NPPES

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

WILLIAM BENSEN D.O. (NPI 1750768339) is an individual family medicine provider in Spencer, Iowa, licensed in Iowa (DO-05271) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1750768339
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM BENSENCredential: D.O.
Location Address116 E 11TH ST STE 101Spencer, IA 51301-4365
Mailing Address116 E 11th St Ste 101Spencer, IA 51301-4365 · (712) 264-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 2, 2015
Last NPPES UpdateSeptember 20, 20182 updates tracked since enumeration
NPI 1750768339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · DO-05271
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.
116 E 11TH ST STE 101, Spencer, IA 51301

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 (PECOS)

William Bensen D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739483041
PECOS Enrollment IDI20181113002197
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 13

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.
801 services344 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.
172 services124 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
108 services11 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.
104 services104 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
74 services74 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
33 services28 patients

Hospital Affiliations CMS Care Compare

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51301 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 25

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
12 suppliers105 claims180 services$5.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers30 claims33 services$0.94 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims360 services$0.84 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers78 claims78 services$41.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers43 claims43 services$113.98 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers47 claims134 services$42.96 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 6

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

Family Medicine
116 E 11TH ST STE 101
SPENCER, IA 51301
Nurse Practitioner (Pediatrics)
116 E 11TH ST STE 101
SPENCER, IA 51301
Nurse Practitioner (Family)
116 E 11TH ST STE 101
SPENCER, IA 51301
Nurse Practitioner (Family)
116 E 11TH ST STE 101
SPENCER, IA 51301
Nurse Practitioner (Family)
116 E 11TH ST STE 101
SPENCER, IA 51301
Physician Assistant
116 E 11TH ST STE 101
SPENCER, IA 51301

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 William Bensen's NPI number?

The NPI number for William Bensen is 1750768339. It was assigned to this individual provider in the NPPES registry on May 2, 2015.

Where is William Bensen located?

William Bensen practices at 116 E 11th St Ste 101, Spencer, IA 51301. The listed phone number is (712) 264-3500.

What is William Bensen's specialty?

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

Is William Bensen enrolled in Medicare?

Yes. William Bensen is registered in the Medicare PECOS enrollment system.

What insurance does William Bensen accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list William Bensen 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 William Bensen affiliated with any hospitals?

According to CMS data, William Bensen is affiliated with Spencer Municipal Hospital.

When was this NPI record last updated?

The NPPES record for William Bensen was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.