MARIO BENAVIDEZ MD
NPI 1982743985
Internal Medicine in Albuquerque, NM

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(505) 724-6145 Get Directions Write a Review

NPPES record last updated: April 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mario Benavidez Md NPPES

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

MARIO BENAVIDEZ MD (NPI 1982743985) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2008-0713) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of University Of New Mexico School Of Medicine (2005).

NPPES Registry Identity

NPI1982743985
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARIO BENAVIDEZCredential: MD
Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930
Mailing Address1100 Central Ave SeAlbuquerque, NM 87106-4930 · (505) 724-6145
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2005
Enumeration DateFebruary 6, 2007
Last NPPES UpdateApril 7, 2017
NPI 1982743985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NM · MD2008-0713
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1100 CENTRAL AVE SE, Albuquerque, NM 87106

Other Identifiers 1

Medicare PINNM301032NM

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

Mario Benavidez 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 ID9335201250
PECOS Enrollment IDI20081230000481
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.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
315 services134 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
139 services79 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
132 services124 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
73 services21 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers68 claims69 services$14.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers57 claims58 services$71.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Specialist
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Anesthesiology
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Anesthesiology
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Anesthesiology
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Anesthesiology
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Anesthesiology
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Anesthesiology
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106

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 Mario Benavidez's NPI number?

The NPI number for Mario Benavidez is 1982743985. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Mario Benavidez located?

Mario Benavidez practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 724-6145.

What is Mario Benavidez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mario Benavidez enrolled in Medicare?

Yes. Mario Benavidez 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 Mario Benavidez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mario Benavidez 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.

Is Mario Benavidez affiliated with any hospitals?

According to CMS data, Mario Benavidez is affiliated with Lovelace Medical Center and Lovelace Women's Hospital.

When was this NPI record last updated?

The NPPES record for Mario Benavidez was last updated on April 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.