DR. THEODORE T BENKE (M.D.) – Facial Plastic Surgery Physician, NPI 1295786135
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 OTOLARYNGOLOGY in TX
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Provider Addresses for DR. THEODORE T BENKE (M.D.)
203, Walls Drive, Cleburne, Johnson County, Texas, 76033, United States
SUITE 101
CLEBURNE, TX 760337022
Phone: (817) 641-3750
Fax: (817) 641-3754
Type: Mailing
1317 GLENWOOD DR
CLEBURNE, TX 76033
Phone: (817) 641-3750
Fax: (817) 641-3754
Type: Mailing
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: 2010-03-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100327000443 | I | Otolaryngology | TX | 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 | 234 | 193 | $0 |
| 69210 | Removal of impacted ear wax | 162 | 122 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 161 | 161 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 79 | $0 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 80 | 79 | $0 |
Insurance plans in this area (ZIP 76033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | PA |
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