DR. THOMAS JAMES JR. BENDA (M.D.) – Otolaryngology Physician, NPI 1003897554
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
138 OTOLARYNGOLOGY in IA
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Provider Addresses for DR. THOMAS JAMES JR. BENDA (M.D.)
Cedar Cross Road, Ace Mobile Home Park, Center Grove, Dubuque, Dubuque County, Iowa, 52003, United States
DUBUQUE, IA 520037704
Phone: (563) 588-0506
Fax: (563) 588-0451
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: ConvaTec Inc. ($57).
Total Amount
$128
General + Research + Ownership
Payments
6
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $57 |
| Smith+Nephew, Inc. | $41 |
| GENZYME CORPORATION | $16 |
| GlaxoSmithKline, LLC. | $14 |
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: 2021-02-18
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 |
|---|---|---|---|---|
| I20100320000250 | I | Otolaryngology | IA | TBD |
| I20210218000092 | I | Otolaryngology | WI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 209 | 155 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 104 | 104 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 90 | 75 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 72 | 65 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 66 | 37 | $0 |
Insurance plans in this area (ZIP 52003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery | IL | |
| Qualified Audiologist | IA | |
| Physician Assistant | IA |
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