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DR. PAUL VINCENT BENOIT O.D.
NPI 1992781942
Optometrist in Hadley, MA

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
97.24/100
CMS Quality Rating
359 RUSSELL ST, HADLEY, MA 01035(413) 584-8324(413) 584-9459 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 18, 2017 (2 updates tracked since 2017).

About Dr. Paul Vincent Benoit O.d. NPPES

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

DR. PAUL VINCENT BENOIT O.D. (NPI 1992781942) is an individual optometrist in Hadley, Massachusetts, licensed in Massachusetts (2786) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1979).

NPPES Registry Identity

NPI1992781942
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL VINCENT BENOITCredential: O.D.
Location Address359 RUSSELL STHadley, MA 01035-3536
Mailing Address1025 Westfield StWest Springfield, MA 01089-3877 · (413) 733-5906 · Fax (413) 732-4292
Phone(413) 584-8324
Fax(413) 584-9459
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1979
Enumeration DateDecember 21, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1992781942 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 MA · 2786
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.
359 RUSSELL ST, Hadley, MA 01035
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Other Identifiers 2

OtherW15714MA · Bcbsma
Other10544MA · Health New England

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Paul Vincent Benoit O.d. 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 ID3274726195
PECOS Enrollment IDI20101022001001
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.
199 services192 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
104 services63 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).
28 services23 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.
18 services16 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.
18 services17 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01035 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost74.14

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.

VISION SHOWCASE
Non-Pharmacy Dispensing Site
359 RUSSELL ST
HADLEY, MA 01035
Hampshire County (413) 584-8324
DAVID GRIGGS R.D.O.
Technician/Technologist (Optician)
359 RUSSELL ST
HADLEY, MA 01035
Hampshire County (413) 584-8324
DD&G HOLDINGS P.C.
Eyewear Supplier
359 RUSSELL ST
HADLEY, MA 01035
Hampshire County (413) 584-8324

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 Paul Benoit's NPI number?

The NPI number for Paul Benoit is 1992781942. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Paul Benoit located?

Paul Benoit practices at 359 Russell St, Hadley, MA 01035. The listed phone number is (413) 584-8324.

What is Paul Benoit's specialty?

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

Is Paul Benoit enrolled in Medicare?

Yes. Paul Benoit 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 Paul Benoit accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Benoit 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 Paul Benoit was last updated on July 21, 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.