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DR. MARISOL D. BENAVIDEZ M.D.
NPI 1891983888
Family Medicine - Geriatric Medicine in San Juan, TX

Active since October 04, 2007PECOS EnrolledAccepts Medicare Assignment
801 W. 1ST STREET, SAN JUAN, TX 78589(956) 787-8915(956) 787-2021 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Marisol D. Benavidez M.d. NPPES

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

DR. MARISOL D. BENAVIDEZ M.D. (NPI 1891983888) is an individual geriatric medicine provider in San Juan, Texas, licensed in Texas (M7855) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of University Of Texas Medical Branch At Galveston (2004).

NPPES Registry Identity

NPI1891983888
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDR. MARISOL D. BENAVIDEZCredential: M.D.
Location Address801 W. 1ST STREETSan Juan, TX 78589
Mailing Address801 W 1st StSan Juan, TX 78589-2276 · (956) 787-8915 · Fax (956) 787-2021
Phone(956) 787-8915
Fax(956) 787-2021
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2004
Enumeration DateOctober 4, 2007
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1891983888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in TX · M7855
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
801 W. 1ST STREET, San Juan, TX 78589
Open in Google Maps ↗

Other Identifiers 2

OtherTXB142923TX · Medicare
Medicaid297333101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marisol D. Benavidez 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 ID5597931758
PECOS Enrollment IDI20120110000541
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.

Medicare Billing Reassignment

Medicare enrollment records show Marisol Benavidez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nuestra Clinica Del Valle, Inc.
Same address
Federally Qualified Health Center (FQHC)
801 W 1ST STREET
San Juan, TX 78589
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
NPI 1891793246 (956) 787-8915

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
58 services17 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
50 services17 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
40 services16 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
39 services15 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
37 services14 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
28 services14 patients

Hospital Affiliations CMS Care Compare 2

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78589 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

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

MARY E PENA L.P.C.
Counselor
801 W. 1ST STREET
SAN JUAN, TX 78589
Hidalgo County (956) 631-9000

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 Marisol Benavidez's NPI number?

The NPI number for Marisol Benavidez is 1891983888. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Marisol Benavidez located?

Marisol Benavidez practices at 801 W. 1st Street, San Juan, TX 78589. The listed phone number is (956) 787-8915.

What is Marisol Benavidez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Marisol Benavidez enrolled in Medicare?

Yes. Marisol Benavidez 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.

Which organization bills Medicare for Marisol Benavidez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisol Benavidez reassigns Medicare benefits to Nuestra Clinica Del Valle, Inc. (San Juan, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisol Benavidez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisol Benavidez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Marisol Benavidez 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 Marisol Benavidez affiliated with any hospitals?

According to CMS data, Marisol Benavidez is affiliated with South Texas Health System and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Marisol Benavidez was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.