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MOLLY BENCK OD
NPI 1992234595
Optometrist in New London, WI

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
85.53/100
CMS Quality Rating
105 NORTHRIDGE DR, NEW LONDON, WI 54961(920) 982-3711 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2020, Jun 7, 2017 (2 updates tracked since 2017).

About Molly Benck Od NPPES

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

MOLLY BENCK OD (NPI 1992234595) is an individual optometrist in New London, Wisconsin, licensed in Wisconsin (3455-35) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2017).

NPPES Registry Identity

NPI1992234595
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMOLLY BENCKCredential: OD
Location Address105 NORTHRIDGE DRNew London, WI 54961-2703
Mailing AddressPo Box 230New London, WI 54961-0230
Phone(920) 982-3711
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration
✔ NPI 1992234595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3455-35
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.
105 NORTHRIDGE DR, New London, WI 54961
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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 Montana, Blue Cross and Blue Shield of Oklahoma 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

Molly Benck 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 ID840569927
PECOS Enrollment IDI20170705002024
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 7

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.
112 services112 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
60 services58 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.
40 services32 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.
32 services27 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
29 services29 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54961 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

85.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.74
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. KERRY LEE GRIEBENOW O.D.
Optometrist (Corneal and Contact Management)
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3711
DR. MICHAEL JAMES LAWTON DDS
Dentist
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3567
CRAIG E SYLTE O.D.
Optometrist
105 NORTHRIDGE DR
NEW LONDON, WI 54961
Waupaca County (920) 982-3711

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 Molly Benck's NPI number?

The NPI number for Molly Benck is 1992234595. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Molly Benck located?

Molly Benck practices at 105 Northridge Dr, New London, WI 54961. The listed phone number is (920) 982-3711.

What is Molly Benck's specialty?

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

Is Molly Benck enrolled in Medicare?

Yes. Molly Benck 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 Molly Benck accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners and 4 other insurers list Molly Benck 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 Molly Benck was last updated on February 5, 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.