Rocio Bentivegna, MD

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

2025040954 Issued in MO

Practice address

12400 Olive Blvd
Saint Louis, MO 63141-5454

Phone

(314) 391-9400

Fax

(618) 861-6003

NPI assigned

Mar 24, 2021

Last updated

Dec 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

Ophthalmology

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ideal Eye Surgery LLCGroup PAC ID 7315200888, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ideal Eye Surgery LLC

  • Ophthalmology Physician
  • O'Fallon, IL
  • NPI 1366966186

  MO

  Medicare reassignment Care Compare group NPD
• Retina Consultants, LLC

  dba The Retina Institute

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1700175395
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1871170183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415454",
            "telephone_number": "314-391-9400",
            "fax_number": "618-861-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415454",
            "telephone_number": "314-391-9400",
            "fax_number": "618-861-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Insight Ave",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622692146",
            "country_code": "US",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620025068",
            "country_code": "US",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12101 Woodcrest Executive Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631415050",
            "country_code": "US",
            "telephone_number": "314-391-9400",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTIVEGNA",
        "first_name": "ROCIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036176935",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2025040954",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036176935",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2025040954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Gene Benson Jr., MD
• Felicia Adria Benson, APRN
• Jason Benson
• Laura Ann Benson, OTRL
• Amber Bent, D.C.
• Bentley Chiropractic LLC
• Emmett M Bentley, D.O.
• Gerald Bentley, LPC
• Karyn D Bentley, PH.D.
• Matthew Bentley, DC

• Ophthalmic Plastic and Reconstructive Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.