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MEGAN BENDA PA
NPI 1861940421
Physician Assistant in Vero Beach, FL

Active since September 13, 2016PECOS Enrolled
74.99/100
CMS Quality Rating
3745 11TH CIR STE 109, VERO BEACH, FL 32960(561) 402-3971 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Sep 13, 2016 (2 updates tracked since 2016).

About Megan Benda Pa NPPES

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

MEGAN BENDA PA (NPI 1861940421) is an individual physician assistant in Vero Beach, Florida and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861940421
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN BENDACredential: PA
Location Address3745 11TH CIR STE 109Vero Beach, FL 32960-4838
Mailing Address234 Tindal St SwPalm Bay, FL 32908-7441 · (606) 465-9221
Phone(561) 402-3971
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 13, 2016
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1861940421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3745 11TH CIR STE 109, Vero Beach, FL 32960
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11168 Kenmore St NWPalm Bay, FL 32907-9012 · Phone (606) 465-9221
Location 2234 Tindal St SWPalm Bay, FL 32908-7441 · Phone (606) 465-9221

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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)

Megan Benda Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385922400
PECOS Enrollment IDI20161025000819
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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
234 services57 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.
204 services50 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

74.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.19
Improvement Activities40
Cost52.94

Other Providers at the Same Location NPPES 2

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

MARCHELLE HOFELDT MD PA
Internal Medicine (Nephrology)
3745 11TH CIR STE 109
VERO BEACH, FL 32960
Indian River County (321) 848-8887
MARCHELLE KAY HOFELDT M.D.
Internal Medicine (Nephrology)
3745 11TH CIR STE 109
VERO BEACH, FL 32960
Indian River County (772) 907-5640

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 Megan Benda's NPI number?

The NPI number for Megan Benda is 1861940421. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Where is Megan Benda located?

Megan Benda practices at 3745 11th Cir Ste 109, Vero Beach, FL 32960. The listed phone number is (561) 402-3971.

What is Megan Benda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Megan Benda enrolled in Medicare?

Yes. Megan Benda is registered in the Medicare PECOS enrollment system.

What insurance does Megan Benda accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Megan Benda 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 Megan Benda was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.