JOHN A BENEKE MD
NPI 1912962572
Ophthalmology in Orlando, FL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1911 N MILLS AVE, ORLANDO, FL 32803(407) 893-8200(407) 893-8220 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John A Beneke Md NPPES

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

JOHN A BENEKE MD (NPI 1912962572) is an individual ophthalmology provider in Orlando, Florida, licensed in Florida (ME57200) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1986).

NPPES Registry Identity

NPI1912962572
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN A BENEKECredential: MD
Location Address1911 N MILLS AVEOrlando, FL 32803
Mailing Address1911 N Mills AveOrlando, FL 32803-1432 · (407) 893-8200 · Fax (407) 893-8220
Fax(407) 893-8220
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1986
Enumeration DateApril 18, 2006
Last NPPES UpdateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
NPI 1912962572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME57200
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.
1911 N MILLS AVE, Orlando, FL 32803

Other Identifiers 1

Medicaid370578100FL

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

John A Beneke Md 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 ID6608939129
PECOS Enrollment IDI20100513000441
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.

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.
1,288 services913 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
579 services467 patients
Injection, bimatoprost, intracameral implant, 1 microgram J7351
This procedure involves placing a tiny implant inside the eye, which releases a drug called bimatoprost. This drug helps to lower high pressure in the eye, typically seen in conditions like glaucoma. It's a safe and effective treatment.
432 services28 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).
251 services244 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
170 services160 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.
147 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 11

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

Ophthalmology
1911 N MILLS AVE
ORLANDO, FL 32803
Ophthalmology
1911 N MILLS AVE
ORLANDO, FL 32803
Ophthalmology
1911 N MILLS AVE
ORLANDO, FL 32803
Optometrist
1911 N MILLS AVE
ORLANDO, FL 32803
Ophthalmology (Retina Specialist)
1911 N MILLS AVE
ORLANDO, FL 32803
Ophthalmology (Cornea and External Diseases Specialist)
1911 N MILLS AVE
ORLANDO, FL 32803
Dietitian, Registered
1911 N MILLS AVE
ORLANDO, FL 32803
Optometrist
1911 N MILLS AVE
ORLANDO, FL 32803

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 John Beneke's NPI number?

The NPI number for John Beneke is 1912962572. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is John Beneke located?

John Beneke practices at 1911 N Mills Ave, Orlando, FL 32803. The listed phone number is (407) 893-8200.

What is John Beneke's specialty?

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

Is John Beneke enrolled in Medicare?

Yes. John Beneke 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 John Beneke accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross and Blue Shield of Montana and 9 other insurers list John Beneke 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 John Beneke was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.