RANDY E BENISH (PA-C) – Medical Physician Assistant, NPI 1215905617

RANDY E BENISH (PA-C) is a healthcare provider. based in Wichita falls, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01374 (TX). The NPI Number for RANDY E BENISH (PA-C) is 1215905617

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
RANDY E BENISH (PA-C)
NPI
1215905617
Phone
(940) 264-2625
Address
4007 CALL FIELD RD STE E
Enumeration Date
10 March 2006
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9402642625
Graduation Year
1986 (40 years ago)
PAC ID
9537321278
Group Practice PAC ID
4789095043
Professional Enrollment ID
I20120820000204
Address ID
TX763082679WI4007XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for RANDY E BENISH (PA-C)

  • 4007 CALL FIELD RD STE E

    WICHITA FALLS, TX 763082679

    Phone: (940) 264-2625

    Fax: (940) 264-6401

    Type: Location

  • 1722, 9th Street, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763015003

    Phone: (940) 322-1075

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $643.

Total Amount is formed as General ($643) + Research ($0) + Ownership ($0) = $643.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: UCB, Inc. ($126).

Total Amount

$643

General + Research + Ownership

Payments

32

Total payment records

General Amount

$643

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-08-20

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120820000204IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg1,089131$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg19234$0
99213Established patient office or other outpatient visit, 20-29 minutes156117$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml10652$0
99203New patient office or other outpatient visit, 30-44 minutes9292$0
View full utilization report →

Insurance plans in this area (ZIP 76308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789095043View full group profile
NameSpecialtyState
R H E U M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for RANDY E BENISH (PA-C)?
RANDY E BENISH (PA-C) — NPI 1215905617 — is the standard way to identify this listing.
Does CMS list RANDY E BENISH (PA-C) as active?
Yes — RANDY E BENISH (PA-C) is active in the NPI listing used on this page.
What healthcare role does RANDY E BENISH (PA-C) hold?
Scheduling teams often label RANDY E BENISH (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does RANDY E BENISH (PA-C) serve?
RANDY E BENISH (PA-C)'s listing highlights Wichita Falls, Texas; more addresses can appear in NPPES.
Why does RANDY E BENISH (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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