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MICHAEL KRAIG BENEFIEL M.D.
NPI 1861855827
Internal Medicine in Fountain Valley, CA

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(949) 340-9530(714) 665-4680 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2019, Mar 29, 2016 (2 updates tracked since 2016).

About Michael Kraig Benefiel M.d. NPPES

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

MICHAEL KRAIG BENEFIEL M.D. (NPI 1861855827) is an individual internal medicine provider in Fountain Valley, California, licensed in California (A153387) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2016).

NPPES Registry Identity

NPI1861855827
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL KRAIG BENEFIELCredential: M.D.
Location Address17360 BROOKHURST STFountain Valley, CA 92708-3720
Mailing Address17360 Brookhurst StFountain Valley, CA 92708-3720 · (657) 241-3592
Phone(949) 340-9530
Fax(714) 665-4680
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2016
Enumeration DateMarch 29, 2016
Last NPPES UpdateMay 31, 20192 updates tracked since enumeration
✔ NPI 1861855827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A153387
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17360 BROOKHURST ST, Fountain Valley, CA 92708
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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

Michael Kraig Benefiel 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 ID8729349840
PECOS Enrollment IDI20190703000932
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
334 services128 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
131 services125 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
112 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$62.27 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$31.54 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 20

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

DR. VINA NGUYEN M. D.
Hospitalist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-1797
DR. PAUL D SYCHANGCO M.D,
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (877) 844-0012
MARYANNE ROSE IBRAHIM M.D.
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-4614
DR. LYDIA MICHELLE SIMON PHARM.D.
Pharmacist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (657) 241-3248
XUANMAI NGUYEN
Dietitian, Registered
17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Orange County (714) 916-0881
MS. JUDY ANN PICAZO N.P.
Nurse Practitioner
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 944-1771
TANYA DANSKY M.D.
Pediatrics
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 377-2900
EDDIE LY M.D.
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-1797

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 Michael Benefiel's NPI number?

The NPI number for Michael Benefiel is 1861855827. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Michael Benefiel located?

Michael Benefiel practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (949) 340-9530.

What is Michael Benefiel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Benefiel enrolled in Medicare?

Yes. Michael Benefiel 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.

When was this NPI record last updated?

The NPPES record for Michael Benefiel was last updated on May 31, 2019. 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.