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DR. ANDREW THOMAS BENEDICT OD
NPI 1962943399
Optometrist in Blue Springs, MO

Active since March 18, 2017PECOS EnrolledAccepts Medicare Assignment
87.52/100
CMS Quality Rating
211 N 7 HWY, BLUE SPRINGS, MO 64014(816) 478-1230(816) 478-4413 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Oct 20, 2021, Dec 11, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Andrew Thomas Benedict Od NPPES

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

DR. ANDREW THOMAS BENEDICT OD (NPI 1962943399) is an individual optometrist in Blue Springs, Missouri, licensed in Missouri (2024013145) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2017).

NPPES Registry Identity

NPI1962943399
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW THOMAS BENEDICTCredential: OD
Location Address211 N 7 HWYBlue Springs, MO 64014-2728
Mailing Address4741 S Cochise DrIndependence, MO 64055-6974 · (816) 478-1230 · Fax (816) 478-4413
Phone(816) 478-1230
Fax(816) 478-4413
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2017
Enumeration DateMarch 18, 2017
Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1962943399 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 MO · 2024013145✔ Licensed in IL · 046.011255
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.
211 N 7 HWY, Blue Springs, MO 64014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Providence Health Plan.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. Andrew Thomas Benedict Od 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 ID5395098487
PECOS Enrollment IDI20240613004007
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 11

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 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.
281 services279 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.
144 services129 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).
68 services68 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.
59 services56 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
50 services50 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.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64014 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

87.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost58.4

Other Providers at the Same Location NPPES

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

EYE CARE, LLC
Eyewear Supplier
211 N 7 HWY
BLUE SPRINGS, MO 64014
Jackson County (816) 478-1230

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 Andrew Benedict's NPI number?

The NPI number for Andrew Benedict is 1962943399. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Where is Andrew Benedict located?

Andrew Benedict practices at 211 N 7 Hwy, Blue Springs, MO 64014. The listed phone number is (816) 478-1230.

What is Andrew Benedict's specialty?

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

Is Andrew Benedict enrolled in Medicare?

Yes. Andrew Benedict 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 Andrew Benedict accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Providence Health Plan list Andrew Benedict 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 Andrew Benedict was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.