DEREK B BENZ (PA-C) – Physician Assistant, NPI 1033703624
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,871 PHYSICIAN ASSISTANT in MO
Provider Addresses for DEREK B BENZ (PA-C)
2725 S CRUTCHER AVE
SPRINGFIELD, MO 658043837
Phone:
Type: Mailing
1741 S 15TH ST
OZARK, MO 657219030
Phone: (417) 269-2215
Type: Location
5100 N TOWNE CENTRE DR
OZARK, MO 657217479
Phone: (417) 730-5510
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $3,326.
Total Amount is formed as General ($3,326) + Research ($0) + Ownership ($0) = $3,326.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,399).
Total Amount
$3,326
General + Research + Ownership
Payments
109
Total payment records
General Amount
$3,326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,399 |
| Lilly USA, LLC | $359 |
| Novo Nordisk Inc | $183 |
| DePuy Synthes Sales Inc. | $149 |
| Ethicon US, LLC | $133 |
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: 2021-03-10
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20210310001548 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 91 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 103 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 86 | 70 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $0 |
| 71046 | X-ray of chest, 2 views | 17 | 17 | $0 |
Insurance plans in this area (ZIP 65804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Physician Assistant | NE | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Internal Medicine | LA | |
| - | MO | |
| Family Practice | MO |
Reviews
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