DR. KARL COBLENZ BENTLEY M.D.
NPI 1912192816
Ophthalmology in Weslaco, TX

Active since September 13, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1519 E 6TH ST, WESLACO, TX 78596(956) 968-3171(956) 968-5783 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Karl Coblenz Bentley M.d. NPPES

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

DR. KARL COBLENZ BENTLEY M.D. (NPI 1912192816) is an individual ophthalmology provider in Weslaco, Texas, licensed in Texas (N3491) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2007).

NPPES Registry Identity

NPI1912192816
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KARL COBLENZ BENTLEYCredential: M.D.
Location Address1519 E 6TH STWeslaco, TX 78596-6605
Mailing Address1519 E 6th StWeslaco, TX 78596-6605 · (956) 968-3171 · Fax (956) 968-5783
Fax(956) 968-5783
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2007
Enumeration DateSeptember 13, 2007
Last NPPES UpdateApril 6, 2017
NPI 1912192816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · N3491
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1519 E 6TH ST, Weslaco, TX 78596

Other Names 1

Other Name (5)Dr. Kc Bentley M.d.

Other Identifiers 3

OtherP01004892TX · Railroad Medicare
Medicare PINTXB138355TX
Medicaid288357101TX

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

Dr. Karl Coblenz Bentley 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 ID6800069410
PECOS Enrollment IDI20111026000858
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 16

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
337 services93 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.
336 services314 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
309 services288 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
178 services100 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
177 services170 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.
145 services119 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78596 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.29

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims15 services$47.63 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims24 services$42.89 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 16

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

Ophthalmology
1519 E 6TH ST
WESLACO, TX 78596
Optometrist
1519 E 6TH ST
WESLACO, TX 78596
Eyewear Supplier
1519 E 6TH ST
WESLACO, TX 78596
Ophthalmology
1519 E 6TH ST
WESLACO, TX 78596
Optometrist
1519 E 6TH ST
WESLACO, TX 78596
Specialist
1519 E 6TH ST
WESLACO, TX 78596
Ophthalmology
1519 E 6TH ST
WESLACO, TX 78596
Specialist
1519 E 6TH ST
WESLACO, TX 78596

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 Karl Bentley's NPI number?

The NPI number for Karl Bentley is 1912192816. It was assigned to this individual provider in the NPPES registry on September 13, 2007. The provider is also known as Dr. Kc Bentley M.D..

Where is Karl Bentley located?

Karl Bentley practices at 1519 E 6th St, Weslaco, TX 78596. The listed phone number is (956) 968-3171.

What is Karl Bentley's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Karl Bentley enrolled in Medicare?

Yes. Karl Bentley 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 Karl Bentley accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Karl Bentley 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 Karl Bentley was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.