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David Cristopher Benner

Physician Assistant โ€ข Boulder, CO

Active NPI 1538150966 Individual Practitioner Male Practitioner
Practice location in NPPES

1100 Balsam Ave
Boulder, CO 803043404

Call 3034402001 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1100 Balsam Ave

Boulder, CO 803043404

Telephone 3034402001
Organization at the Same NPPES Address or Phone
Boulder Emergency Physicians Pc Facility NPI 1659354637

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

319 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $38,580 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $28,387 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

80 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$492 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

David Benner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists David Benner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boulder and Colorado

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Boulder, CO (2024, 51 clinicians with data). Median for this group: 388. Middle half: 180 to 1,299.

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: 195. Middle half: 69 to 517.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Boulder, CO (2024, 51 clinicians with data). Median for this group: $31,287. Middle half: $12,705 to $53,615.

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: $15,616. Middle half: $6,273 to $34,912.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Boulder, CO (2024, 51 clinicians with data). Median for this group: $23,204. Middle half: $9,120 to $39,233.

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Colorado (2024, 1,641 clinicians with data). Median for this group: $11,339. Middle half: $4,686 to $25,550.

Medicare Part D prescriptions

Fewer Part D prescriptions than 75% of clinicians listed under Physician Assistant in Boulder, CO (2024, 66 clinicians with data). Median for this group: 215. Middle half: 83 to 463.

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Colorado (2024, 2,034 clinicians with data). Median for this group: 194. Middle half: 63 to 625.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Physician Assistant in Boulder, CO (2024, 66 clinicians with data). Median for this group: $3,354. Middle half: $910 to $28,268.

A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in Colorado (2024, 2,034 clinicians with data). Median for this group: $3,374. Middle half: $574 to $55,951.

100 active clinicians are listed under Physician Assistant with a practice address in Boulder, CO (3,767 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boulder

13% of these 100 clinicians have the CMS telehealth indicator.

68% of these 100 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
152 147 $483.00 $99.61
99285 Emergency department visit with high level of medical decision making
137 128 $714.00 $144.47
99283 Emergency department visit with low level of medical decision making
26 24 $258.00 $58.71
99291 Critical care, first 30-74 minutes
12 12 $904.00 $176.72

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 39 127 $202.99 39
Cephalexin Cephalexin 25 166 $153.02 25
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 16 127 $135.49 16

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CO 2965

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Clinical Nurse Specialist - Emergency

NUCC Taxonomy Code: 364SE0003X

License # reported to NPPES CA PA17737
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
OPA177370 (CA)
Medicaid ID
36352861 (CO)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20100506000452

Enrollment State Jurisdiction

CO

PECOS Control ID

8022001593

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

39 listed
Dr. Jose Angel , MD

Anesthesiology

NPI 1972543254

Doctor of Medicine (M.D.)

NPI 1144270562

Doctor of Medicine (M.D.)

Jamie Canino

Physician Assistant

NPI 1649466822
Dr. Jeffrey Carter , MD

Internal Medicine

NPI 1457441032

Doctor of Medicine (M.D.)

NPI 1316986581

Doctor of Medicine (M.D.)

NPI 1407807423

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
โœ…
NPI Profile Active May 09, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 09, 2013

Registered at 1100 BALSAM AVE, BOULDER, CO 803043404 (Tel: 3034402001)

๐Ÿ“
Business Mailing Address (Initial Record) May 09, 2013

Registered at PO BOX 173894, DENVER, CO 802173894 (Tel: 3033067783)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 09, 2013

Recorded as DAVID BENNER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2013

Physician Assistant (license number reported to NPPES: CO 2965)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2013

Clinical Nurse Specialist (license number reported to NPPES: CA PA17737)

๐ŸŸข
Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538150966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: May 09, 2013
Sole Proprietor: No

Other Physician Assistants in Boulder

All Physician Assistants in Boulder

Mailing Address

Po Box 173894

Denver, CO 802173894

Phone: 3033067783

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.