CHAD BENNINGHOFF NP
NPI 1912256256
Nurse Practitioner - Family in San Marcos, TX

Q: What is Chad Benninghoff's NPI number?

The NPI number for Chad Benninghoff is 1912256256. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Q: What is Chad Benninghoff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Chad Benninghoff was last updated on March 30, 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.

Active since August 31, 2012PECOS EnrolledAccepts Medicare Assignment

98.3/100

CMS Quality Rating

1301 WONDER WORLD DR, SAN MARCOS, TX 78666(512) 353-8979 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Nov 11, 2025 (2 updates tracked since 2025).

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About Chad Benninghoff Np NPPES

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

CHAD BENNINGHOFF NP (NPI 1912256256) is an individual family provider in San Marcos, Texas, licensed in Arizona (AP7707) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2012).

NPPES Registry Identity

NPI1912256256

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCHAD BENNINGHOFFCredential: NP

Location Address1301 WONDER WORLD DRSan Marcos, TX 78666-7533

Mailing Address160 Raintree DrKyle, TX 78640-5837 · (512) 203-0413

Phone(512) 353-8979

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2012

Enumeration DateAugust 31, 2012

Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1912256256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP7707

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License AP7707 (AZ)

1301 WONDER WORLD DR, San Marcos, TX 78666

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Chad Benninghoff Np 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 ID4385894203

PECOS Enrollment IDI20121030000194, I20140619000765, I20151209001141, I20251103001100

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

59 services59 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

31 services31 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

25 services25 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Critical Access Hospitals · Dumas, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451386

Location224 E Second StreetDumas, TX 79029 · Moore County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 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.

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.

98.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

KATHERINE ALISON SIDES MD

Emergency Medicine

1301 WONDER WORLD DR, CENTRAL TEXAS MEDICAL CENTER
SAN MARCOS, TX 78666

Hays County (512) 353-8979

ROCKIE LANE DUGGER CRNA

Nurse Anesthetist, Certified Registered