Individual provider Active NPI

Donald W Benefield, MD

  • Specialist
  • Gulfport, MS
National Provider Identifier
1386636694
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12410 Issued in MS
Practice address
11240 Highway 49 Ste 300
Gulfport, MS 39503-4151
Phone
(228) 328-0972
Fax
(228) 328-0975
NPI assigned
Aug 22, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12410 MS Primary

Addresses

Primary practice location

11240 Highway 49 Ste 300
Gulfport, MS 39503-4151

Mailing address

11240 Highway 49 Ste 300
Gulfport, MS 39503-4151
Phone (228) 328-0972

Other identifiers 1

IdentifierTypeStateIssuer
0015674MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20050929000920 MS Practitioner - Ophthalmology 2567497324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefield Eye Care, PCGroup PAC ID 0143258368, 3 clinicians

Practice addresses (Care Compare)

14225 Dedeaux Rd
Gulfport, MS 39503-3369
Phone (228) 328-0972

Merit-based Incentive Payment System (MIPS)

Final score
92.28 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12410MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Benefield Eye Care, PC Specialist CurrentSince Nov 1, 1990 Accepting new patients
Benefield Eye Care, PC Past Accepting new patients
Coastal Eye Surgery Center PastSince Dec 11, 2011 Accepting new patients

Locations

11240 Highway 49
Ste 300
Gulfport, MS 39503
Phone (228) 284-4342

14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972

Interoperability endpoints

  • Direct secure messaging: dbenefield@direct.mhg.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386636694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 HIGHWAY 49 STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034151",
            "telephone_number": "228-328-0972",
            "fax_number": "228-328-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 HIGHWAY 49 STE 300",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034151",
            "telephone_number": "228-328-0972",
            "fax_number": "228-328-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEFIELD",
        "first_name": "DONALD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "12410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015674",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.