GEORGE BENAVIDEZ M.D.
NPI 1598749129
Family Medicine in Corpus Christi, TX
Quality Rating: 92.97 out of 100 score
NPI Status: Active since December 06, 2005
Contact Information
7121 S PADRE ISLAND DR
STE 300
CORPUS CHRISTI, TX
ZIP 78412
Phone: (361) 696-6043
Fax: (361) 696-6020
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About GEORGE BENAVIDEZ
This page provides the complete NPI Profile along with additional information for George Benavidez, a primary care provider established in Corpus Christi, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1598749129 assigned on December 2005. The practitioner's primary taxonomy code is 207Q00000X with license number F3040 (TX). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1598749129
- Provider Name
- GEORGE BENAVIDEZ M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7121 S PADRE ISLAND DR STE 300 CORPUS CHRISTI, TX 78412
- Location Phone
- (361) 696-6043
- Location Fax
- (361) 696-6020
- Mailing Address
- PO BOX 6409 CORPUS CHRISTI, TX 78466
- Mailing Phone
- (361) 696-6200
- Mailing Fax
- (361) 696-6020
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-06-2005
- Last Update Date
- 05-08-2014
- Code Navigator
A primary care provider (PCP) like George Benavidez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- F3040
- License State
- TX
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86382J | MEDICARE ID-TYPE UNSPECIFIED (04) | TX | |
| B21191 | MEDICARE UPIN (02) | TX | |
| 139473612 | MEDICAID (05) | TX |
Medicare Participation & PECOS Enrollment Status
George Benavidez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
7 DME suppliers used 14 Medicare Claims 32 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
2 DME suppliers used 24 Medicare Claims 24 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78412 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.97, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 92.97 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 85.95
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Colorectal Cancer Screening | 8% | 188 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Diabetes: Eye Exam | 2% | 61 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | 300 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 3% | 226 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
| Screening for Osteoporosis for Women Aged 65-85 Years of Age | 15% | 115 |
| Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 9 | 8 | 7 | 4 | 9 | 1 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 14 | 4 | 18 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 4 + 4 + 1 + 8 + 1 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1598749129 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821097528 | DR. MIGUEL A BERASTAIN M.D. Individual | Orthopaedic Surgery | 7121 S PADRE ISLAND DR SUITE 106 CORPUS CHRISTI, TX 78412 (361) 994-5151 |
| 1013992015 | JAMES MICHAEL NEFF M.D. Individual | Internal Medicine | 7121 S PADRE ISLAND DR CORPUS CHRISTI, TX 78412 (361) 696-6200 |
| 1932184967 | CHARLES SANDERS M.D. Individual | Family Medicine | 7121 S PADRE ISLAND DR CORPUS CHRISTI, TX 78412 (361) 696-6200 |
| 1538144530 | DR. MINH VAN NGUYEN M.D. Individual | Internal Medicine | 7121 S PADRE ISLAND DR CORPUS CHRISTI, TX 78412 (361) 696-6200 |
| 1013994847 | THOMAS-SPANN CLINIC, P.A. Organization | Clinical Medical Laboratory | 7121 S PADRE ISLAND DR STE 300 CORPUS CHRISTI, TX 78412 (361) 696-6200 |
| 1851358808 | DR. GLENN A GRIFFIN DO Individual | Surgery | 7121 S PADRE ISLAND DR SUITE 310 CORPUS CHRISTI, TX 78412 (361) 985-9500 |
| 1174565865 | MIGUEL A. BERASTAIN, M.D., P.A. Organization | Orthopaedic Surgery | 7121 S PADRE ISLAND DR #106 CORPUS CHRISTI, TX 78412 (361) 994-5151 |
| 1972525723 | WHITNEY JOSEPH GONSOULIN MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 7121 S PADRE ISLAND DR SUITE 303 CORPUS CHRISTI, TX 78412 (361) 980-1244 |
| 1740450030 | SUZANNE MARIE THEBEAU WHNP-BC Individual | Nurse Practitioner (Women's Health) | 7121 S PADRE ISLAND DR SUITE 200 CORPUS CHRISTI, TX 78412 (361) 993-6000 |
| 1265665475 | DRISCOLL CHILDREN'S HOSPITAL Organization | Clinic/Center (Genetics) | 7121 S PADRE ISLAND DR 303 CORPUS CHRISTI, TX 78412 (361) 980-1244 |
| 1588943005 | JESSIE L NEWMAN R.D Individual | Dietitian, Registered | 7121 S PADRE ISLAND DR SUITE 310 CORPUS CHRISTI, TX 78412 (361) 985-9500 |
| 1366634420 | HUGO ERNESTO GUIDO MD Individual | Family Medicine | 7121 S PADRE ISLAND DR SUITE 300 CORPUS CHRISTI, TX 78412 (361) 696-6200 |
| 1972577468 | DR. DENISE MAXINE LOCHNER M.D. Individual | Obstetrics & Gynecology (Obstetrics) | 7121 S PADRE ISLAND DR SUITE 200 CORPUS CHRISTI, TX 78412 (361) 993-6000 |
| 1053415117 | MRS. LEIGHANNE GLAZENER MD Individual | Obstetrics & Gynecology | 7121 S PADRE ISLAND DR SUITE 302 CORPUS CHRISTI, TX 78412 (361) 851-5000 |
| 1164509659 | DR. OREL MICHAEL EVERETT M.D. Individual | Family Medicine | 7121 S PADRE ISLAND DR SUITE #300 CORPUS CHRISTI, TX 78412 (361) 696-6200 |
| 1629053186 | MARK G STRAUSS MD Individual | Internal Medicine | 7121 S PADRE ISLAND DR STE. 300 CORPUS CHRISTI, TX 78412 (361) 696-6200 |
| 1659356798 | JOHN ALAN CARMICHAEL M.D. Individual | Family Medicine | 7121 S PADRE ISLAND DR SUITE 300 CORPUS CHRISTI, TX 78412 (361) 696-6043 |
| 1588925556 | DR. JAMES C HINES MD Individual | Internal Medicine | 7121 S PADRE ISLAND DR STE 300 CORPUS CHRISTI, TX 78412 (361) 696-6043 |
| 1952305591 | AFTAB MAHMOOD M.D. Individual | Internal Medicine (Hematology & Oncology) | 7121 S PADRE ISLAND DR SUITE 102 CORPUS CHRISTI, TX 78412 (361) 993-3456 |
| 1447235478 | DR. JOHN R PETTIGROVE M.D. Individual | Internal Medicine | 7121 S PADRE ISLAND DR CORPUS CHRISTI, TX 78412 (361) 696-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598749129, enumerated in the NPI registry as an "individual" on December 06, 2005
The provider is located at 7121 S Padre Island Dr Ste 300 Corpus Christi, Tx 78412 and the phone number is (361) 696-6043
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 06, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.