DR. PAULA SUE BENES (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1346263647
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
596 PHYSICAL MEDICINE AND REHABILITATION in IL
Provider Addresses for DR. PAULA SUE BENES (M.D.)
3402 ANDERSON HEALTHCARE DR
EDWARDSVILLE, IL 620257712
Phone: (877) 749-7428
Fax: (512) 628-3314
Type: Location
Woodstead Court, Grogan's Mill, The Woodlands, Montgomery County, Texas, 77380, United States
THE WOODLANDS, TX 773801480
Phone: (877) 749-7428
Fax: (877) 749-7428
Type: Mailing
Clayton Road, Ladue, Saint Louis County, Missouri, 63017, United States
RICHMOND HEIGHTS, MO 631171811
Phone: (877) 749-7428
Fax: (281) 724-3100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160713000996 | I | Physical Medicine And Rehabilitation | MO | TBD |
| I20240312002219 | I | Physical Medicine And Rehabilitation | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 390 | 116 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 294 | 102 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 110 | 104 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 53 | 31 | $0 |
Insurance plans in this area (ZIP 62025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | MO | |
| - | IL |
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