Active NPI 1629078936 Individual Practitioner Female Practitioner

Dr. Priscilla Jean Benner , MD

Internal Medicine • Pennsburg, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Priscilla Benner, MD is a certified Internal Medicine practicing in Pennsburg, PA. With approximately 51 years of clinical experience since graduating from Medical College Of Pennsylvania in 1975, Dr. Benner delivers high-quality medical care to the local community at 2781 GERYVILLE PIKE.

Dr. Benner maintains professional affiliations with Valley Medical Center Of Pennsburg Llc, H2 Rehabilitation Extension Services Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual alcohol misuse screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2781 Geryville Pike

Pennsburg, PA 180732306

Telephone 2156798071

Fax 2155414171

Associated Practice Facility / Clinic

🏢 Valley Medical Center Of Pennsburg, Llc Facility NPI 1730566357

Medicare Profile & Education

Medical School

Medical College Of Pennsylvania

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pennsburg, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +21.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Pennsburg, PA (7609 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

24.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benner (51 Years) 51 Yrs

Pennsburg Specialty Average (30.0 Years) 30.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	480	223	$196.02	$138.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	291	162	$266.67	$196.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	231	231	$177.10	$142.95
G0442 Annual alcohol misuse screening, 5 to 15 minutes	195	195	$27.21	$20.99
G0444 Annual depression screening, 5 to 15 minutes	181	181	$27.29	$20.99
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	165	67	$168.11	$135.73
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	105	47	$24.10	$16.15
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	85	58	$40.18	$27.86
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	73	43	$230.00	$199.28
99442 Telephone medical discussion with physician, 11-20 minutes	61	39	$124.54	$98.40
99443 Telephone medical discussion with physician, 21-30 minutes	46	34	$175.30	$138.55
99441 Telephone medical discussion with physician, 5-10 minutes	36	21	$77.92	$61.50
36415 Insertion of needle into vein for collection of blood sample	33	29	$41.82	$8.65
99496 Transitional care management services for problem of high complexity	27	25	$402.59	$305.26
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$164.09	$98.80
82270 Stool analysis for blood to screen for colon tumors	21	21	$10.00	$4.29
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$22.22	$15.59
69210 Removal of impacted ear wax	17	15	$66.71	$52.28
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$223.57	$182.85
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$21.82	$15.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	494	243	$165.63	$132.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	239	142	$228.69	$185.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	224	224	$168.86	$135.05
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	220	68	$179.70	$132.55
99497 Advance care planning, first 30 minutes	216	208	$121.77	$86.07
G0442 Annual alcohol misuse screening, 5 to 15 minutes	147	147	$27.07	$19.45
G0444 Annual depression screening, 5 to 15 minutes	146	146	$27.02	$19.45
99213 Established patient office or other outpatient visit, typically 15 minutes	92	63	$113.47	$93.09
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	82	42	$20.43	$15.47
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	66	51	$35.00	$26.69
99443 Telephone medical discussion with physician, 21-30 minutes	54	38	$164.00	$133.04
99442 Telephone medical discussion with physician, 11-20 minutes	49	38	$117.57	$94.69
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	44	32	$244.32	$193.02
36415 Insertion of needle into vein for collection of blood sample	36	28	$27.50	$8.40
99441 Telephone medical discussion with physician, 5-10 minutes	33	16	$73.18	$58.67
99496 Transitional care management services for problem of high complexity	26	22	$342.31	$280.14
93000 Routine ekg using at least 12 leads including interpretation and report	21	18	$28.57	$15.25
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	21	17	$151.86	$79.04
90471 Administration of 1 vaccine	18	18	$27.00	$21.33
69210 Removal of impacted ear wax	17	16	$84.35	$50.38
82270 Stool analysis for blood to screen for colon tumors	15	15	$11.33	$4.29
G0008 Administration of influenza virus vaccine	14	14	$37.00	$32.05
99495 Transitional care management services for problem of at least moderate complexity	11	11	$280.36	$213.93
91300 Sarscov2 vac 30mcg/0.3ml im	11	11	$10.00	$0.01
0004A Fee covid-19 vac 1 res	11	11	$70.00	$42.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	221	$144.82	$134.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	307	166	$194.70	$187.79
99336 Established patient assisted living visit, typically 40 minutes	258	88	$170.00	$139.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	232	232	$149.77	$138.01
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	128	51	$25.00	$16.24
99213 Established patient office or other outpatient visit, typically 15 minutes	92	79	$100.00	$93.28
99443 Telephone medical discussion with physician, 21-30 minutes	79	60	$145.00	$134.79
99442 Telephone medical discussion with physician, 11-20 minutes	57	46	$100.00	$95.69
36415 Insertion of needle into vein for collection of blood sample	38	30	$34.47	$2.96
99496 Transitional care management services for problem of high complexity	33	26	$250.00	$246.24
69210 Removal of impacted ear wax	27	26	$90.00	$51.02
99441 Telephone medical discussion with physician, 5-10 minutes	25	17	$65.00	$59.40
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$67.71	$15.30
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	24	24	$90.00	$42.22
82270 Stool analysis for blood to screen for colon tumors	22	22	$30.00	$4.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$241.05	$175.69
99337 Established patient assisted living visit, typically 60 minutes	19	16	$235.26	$197.38
99495 Transitional care management services for problem of at least moderate complexity	19	18	$210.53	$200.18
99335 Established patient assisted living visit, typically 25 minutes	12	11	$147.50	$99.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$231.82	$176.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	221	$144.32	$139.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	210	142	$184.53	$185.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$149.79	$142.93
99336 Established patient assisted living visit, typically 40 minutes	140	46	$170.00	$143.27
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	67	27	$24.84	$16.78
99443 Telephone medical discussion with physician, 21-30 minutes	50	31	$145.00	$140.17
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$100.00	$98.68
99442 Telephone medical discussion with physician, 11-20 minutes	26	21	$100.00	$99.12
36415 Insertion of needle into vein for collection of blood sample	19	16	$40.00	$3.00
99496 Transitional care management services for problem of high complexity	14	12	$250.00	$252.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	454	216	$144.37	$117.65
99336 Established patient assisted living visit, typically 40 minutes	218	86	$170.00	$144.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	160	127	$184.76	$157.96
99443 Telephone medical discussion with physician, 21-30 minutes	152	92	$145.00	$117.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	150	$150.00	$124.98
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	85	40	$25.00	$16.55
36415 Insertion of needle into vein for collection of blood sample	74	46	$40.00	$2.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	52	15	$165.00	$133.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	39	15	$120.00	$91.11
99442 Telephone medical discussion with physician, 11-20 minutes	26	23	$100.00	$81.70
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$100.00	$81.48
99496 Transitional care management services for problem of high complexity	19	18	$250.00	$252.72
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$255.00	$222.18
69210 Removal of impacted ear wax	13	13	$90.00	$52.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	628	271	$144.94	$116.12
99336 Established patient assisted living visit, typically 40 minutes	247	92	$170.00	$144.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	225	172	$185.00	$156.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	218	218	$150.00	$124.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	132	18	$120.00	$90.78
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	77	46	$25.00	$15.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	76	18	$165.00	$134.50
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$100.00	$79.67
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	35	35	$230.00	$199.33
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	27	27	$90.00	$42.14
99335 Established patient assisted living visit, typically 25 minutes	27	20	$128.73	$101.23
69210 Removal of impacted ear wax	25	23	$90.00	$51.37
82270 Stool analysis for blood to screen for colon tumors	24	24	$30.00	$4.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$230.00	$183.93
81002 Urinalysis, manual test	15	12	$25.00	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$230.00	$176.72
36415 Insertion of needle into vein for collection of blood sample	14	13	$40.00	$2.94
99337 Established patient assisted living visit, typically 60 minutes	11	11	$245.00	$207.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	775	299	$144.86	$114.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	192	192	$150.00	$123.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	136	24	$120.00	$89.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	103	92	$185.00	$154.14
99213 Established patient office or other outpatient visit, typically 15 minutes	90	74	$99.71	$77.56
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	83	23	$165.00	$134.10
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	75	75	$230.00	$196.68
99336 Established patient assisted living visit, typically 40 minutes	58	38	$170.00	$143.01
69210 Removal of impacted ear wax	30	27	$90.00	$52.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	29	11	$165.00	$143.97
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$230.00	$176.00
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$75.00	$18.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$230.00	$181.79
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	16	16	$270.00	$230.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	14	11	$95.00	$67.90
81002 Urinalysis, manual test	13	12	$25.00	$3.41
94060 Test to measure expiratory airflow and volume changes before and after medication administration	11	11	$130.00	$65.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	666	270	$144.84	$113.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	178	178	$150.00	$122.44
99213 Established patient office or other outpatient visit, typically 15 minutes	161	115	$100.00	$77.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	160	137	$185.00	$153.13
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	127	44	$165.00	$134.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	113	35	$120.00	$90.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	64	28	$119.54	$93.46
90662 Influenza vaccine split virus, preservative free	62	62	$55.00	$48.05
G0008 Administration of influenza virus vaccine	60	60	$35.00	$27.11
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	58	23	$164.47	$142.55
93000 Routine ekg using at least 12 leads including interpretation and report	24	21	$75.00	$18.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	17	$95.00	$69.34
81002 Urinalysis, manual test	21	20	$25.00	$3.43
99306 Initial nursing facility visit, typically 45 minutes per day	21	16	$210.00	$164.67
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$230.00	$172.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	15	$95.00	$67.21
69210 Removal of impacted ear wax	16	16	$90.00	$52.47
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$230.00	$180.24
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$75.00	$18.30

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD017870E

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0006280500004 (PA)

Commercial Insurance / Payer ID Amerihealth

090232 (PA)

Commercial Insurance / Payer ID Blue Shield

090232 (PA)

Commercial Insurance / Payer ID Capital Blue Cross

50002697 (PA)

Commercial Insurance / Payer ID Independence Blue Cross

0045794001 (PA)

Commercial Insurance / Payer ID Aetna

0045794001 (PA)

Commercial Insurance / Payer ID Keystone Mercy

1026082 (PA)

Commercial Insurance / Payer ID Oxford

P3152581 (PA)

Commercial Insurance / Payer ID Black Lung

610383300 (PA)

Commercial Insurance / Payer ID Keystone East

0045794001 (PA)

Hospital & Practice Group Affiliations

H2 Rehabilitation Extension Services Llc

137 Montgomery Ave, Boyertown, PA 195121300

Phone: 4846583150

Valley Medical Center Of Pennsburg Llc

2781 Geryville Pike, Pennsburg, PA 180732306

Phone: 2156798071

H2 Rehabilitation Extension Services Llc

137 Montgomery Ave, Boyertown, PA 195121300

Phone: 4846583150

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Kathleen Gotwals , PA-C

Physician Assistant - Medical

NPI 1033119482

Physician Assistant (Certified)

Anna Benner-Hellmann , PA-C

Physician Assistant - Medical

NPI 1396721064

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 08, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2015

Registered at 2781 GERYVILLE PIKE, PENNSBURG, PA 180732306 (Tel: 2156798071)

📍

Updated Business Mailing Address June 08, 2015

Registered at 2779 GERYVILLE PIKE, PENNSBURG, PA 180732306 (Tel: 2156798071)

👤

Provider Name / Credentials Updated June 08, 2015

Recorded as PRISCILLA BENNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2015

Internal Medicine (License #MD017870E in PA)

🟢

Initial NPI Registration & Enumeration July 28, 2005

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: 1629078936

Entity Type:

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

Enumeration Date: July 28, 2005

Last Update: June 08, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2779 Geryville Pike

Pennsburg, PA 180732306

Phone: 2156798071

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.