JUSTINE BENIN D.O.
NPI 1942541362
Family Medicine in Lake Geneva, WI

Active since March 11, 2013PECOS EnrolledAccepts Medicare Assignment
146 E GENEVA SQ, LAKE GENEVA, WI 53147(262) 239-5000 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 11, 2022, Jun 30, 2016 (2 updates tracked since 2016).

About Justine Benin D.o. NPPES

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

JUSTINE BENIN D.O. (NPI 1942541362) is an individual family medicine provider in Lake Geneva, Wisconsin, licensed in Wisconsin (65810-21) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1942541362
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTINE BENINCredential: D.O.
Location Address146 E GENEVA SQLake Geneva, WI 53147-9694
Mailing Address146 E Geneva SqLake Geneva, WI 53147-9694 · (262) 239-5000
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateMarch 11, 2013
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1942541362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 65810-21
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
146 E GENEVA SQ, Lake Geneva, WI 53147

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

Justine Benin D.o. 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 ID2466748223
PECOS Enrollment IDI20160906001102
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 5

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 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.
120 services117 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
37 services37 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53147 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Psychologist
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Nurse Practitioner
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Dermatology
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Physician Assistant
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Durable Medical Equipment & Medical Supplies
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Obstetrics & Gynecology
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Family Medicine
146 E GENEVA SQ
LAKE GENEVA, WI 53147
Nurse Practitioner
146 E GENEVA SQ
LAKE GENEVA, WI 53147

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 Justine Benin's NPI number?

The NPI number for Justine Benin is 1942541362. It was assigned to this individual provider in the NPPES registry on March 11, 2013.

Where is Justine Benin located?

Justine Benin practices at 146 E Geneva Sq, Lake Geneva, WI 53147. The listed phone number is (262) 239-5000.

What is Justine Benin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justine Benin enrolled in Medicare?

Yes. Justine Benin 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 Justine Benin accept?

Health plans from CareSource (Common Ground Healthcare) list Justine Benin 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 Justine Benin was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.