Jerry A Benham, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

H0173 Issued in TX

Practice address

7125 New Sanger Ave
Suite 516
Waco, TX 76712

Phone

(254) 752-9638

Fax

(254) 752-2201

NPI assigned

Mar 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

University of Texas Medical School at San Antonio, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Waco, TX, CCN 450042
• Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.benham.1@9635.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Health Alliance

  • Specialist
  • Waco, TX
  • NPI 1932210838
  Medicare reassignment Care Compare group NPD
• Providence Health Alliance

  • Rural Health Clinic/Center
  • Waco, TX
  • NPI 1336590462
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679
  Care Compare affiliation
• Mexia Principal Healthcare Limited Partnership

  • General Acute Care Hospital
  • Mexia, TX
  • NPI 1497708929
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1245290972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 201",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-752-9638",
            "fax_number": "254-752-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 NEW SANGER AVE",
            "address_2": "SUITE 516",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-752-9638",
            "fax_number": "254-752-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHAM",
        "first_name": "JERRY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H0173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102133902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie K Bellah, PNP
• Cayce Bellinger, PSY.D.
• Briseida Iris Belmontes-Martinez, MT
• Casey Benac, MA, LCMHC
• Emilee Hope Benedict
• Melisa A Benham, MD
• Waldemarie Benitez Rodriguez, SLP-ASSISTANT
• Ashley Benitez, PTA
• Leslie Benitez
• Benjamin F Lagrone MD PA

• Orthopaedic Surgery Physician in Waco, TX
• Providers in Waco, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.