Active NPI 1528189651 Individual Practitioner Male Practitioner

Dr. Scott Wald Benninghoven , MD

Surgery • Gilroy, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Benninghoven, MD is a certified Surgery practicing in Gilroy, CA. With approximately 42 years of clinical experience since graduating from University Of Southern California Keck School Of Medicine in 1984, Dr. Benninghoven delivers high-quality medical care to the local community at 8833 MONTEREY RD STE F.

Dr. Benninghoven is affiliated with Hazel Hawkins Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8833 Monterey Rd Ste F

Gilroy, CA 950207200

Telephone 4088483799

Fax 4088485490

Associated Practice Facility / Clinic

🏢 John Saranto Md And Scott Benninghoven Md A Joint Venture Facility NPI 1336359959

Medicare Profile & Education

Medical School

University Of Southern California Keck School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gilroy, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +11.6 yrs vs City Avg

City Avg: 30.4 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Gilroy, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benninghoven (42 Years) 42 Yrs

Gilroy Specialty Average (30.4 Years) 30.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	34	$698.16	$88.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$1160.64	$146.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	30	$679.00	$91.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$828.40	$149.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	28	$665.46	$81.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$358.20	$43.88
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$671.92	$111.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$958.50	$117.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$873.83	$155.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	26	$639.00	$82.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	13	$336.24	$43.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$681.47	$154.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	16	$915.00	$118.08
47562 Removal of gallbladder using an endoscope	11	11	$6843.18	$752.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	23	$621.20	$83.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$720.52	$157.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$671.74	$117.48
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$431.29	$59.02
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$254.64	$117.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$371.02	$181.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	51	$351.03	$122.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	63	$600.00	$215.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	34	$375.00	$110.70
47562 Removal of gallbladder using an endoscope	17	17	$2523.53	$659.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$475.00	$176.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	35	$284.21	$107.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$600.00	$208.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$350.00	$117.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$508.86	$141.94
47562 Removal of gallbladder using an endoscope	12	12	$3800.00	$666.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	115	66	$385.00	$230.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	40	$173.00	$110.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$200.00	$181.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	36	$118.00	$76.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$220.00	$144.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$135.00	$120.74
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$95.46	$80.15
99239 Hospital discharge day management, more than 30 minutes	18	18	$195.00	$115.28
99285 Emergency department visit for life threatening or functioning severity	17	17	$285.00	$174.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$180.00	$120.91

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA G55118

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00G551180 (CA)

Hospital & Practice Group Affiliations

Hazel Hawkins Memorial Hospital

911 Sunset Dr, Hollister, CA 950235606

Phone: 83163726262601

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2012

Registered at 8833 MONTEREY RD STE F, GILROY, CA 950207200 (Tel: 4088483799)

📍

Updated Business Mailing Address September 27, 2012

Registered at 8833 MONTEREY RD STE F, GILROY, CA 950207200 (Tel: 4088483799)

👤

Provider Name / Credentials Updated September 27, 2012

Recorded as SCOTT BENNINGHOVEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2012

Surgery (License #G55118 in CA)

🟢

Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528189651

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2007

Last Update: September 27, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8833 Monterey Rd Ste F

Gilroy, CA 950207200

Phone: 4088483799

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.