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DR. JORGE A BENAVENTE OPTOMETRIST PC
NPI 1952409583
Optometrist in Munster, IN

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
9175 CALUMET AVE, MUNSTER, IN 46321(219) 836-7800(219) 836-4806 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jorge A Benavente Optometrist Pc NPPES

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

DR. JORGE A BENAVENTE OPTOMETRIST PC (NPI 1952409583) is an individual optometrist in Munster, Indiana, licensed in Indiana (18001807B) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1977).

NPPES Registry Identity

NPI1952409583
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JORGE A BENAVENTECredential: OPTOMETRIST PC
Location Address9175 CALUMET AVEMunster, IN 46321-2805
Mailing Address9175 Calumet AveMunster, IN 46321-2805 · (219) 836-7800 · Fax (219) 836-4806
Phone(219) 836-7800
Fax(219) 836-4806
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 1977
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1952409583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IN · 18001807B✔ Licensed in IL · 046-0006940
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
9175 CALUMET AVE, Munster, IN 46321
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Other Identifiers 2

Medicaid100157520AIN
Other351517961IN · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.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. Jorge A Benavente Optometrist Pc 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 ID9234270117
PECOS Enrollment IDI20100114000383, I20110921000737
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 3

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.
37 services31 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.
24 services24 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.
24 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES

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

DR. SUZANNA ELENA ACOSTA OD
Optometrist
9175 CALUMET AVE
MUNSTER, IN 46321
Lake County (219) 836-7800

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 Jorge Benavente's NPI number?

The NPI number for Jorge Benavente is 1952409583. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jorge Benavente located?

Jorge Benavente practices at 9175 Calumet Ave, Munster, IN 46321. The listed phone number is (219) 836-7800.

What is Jorge Benavente's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jorge Benavente enrolled in Medicare?

Yes. Jorge Benavente 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 Jorge Benavente accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 5 other insurers list Jorge Benavente 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 Jorge Benavente was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.