Active NPI 1245290972 Individual Practitioner Male Practitioner

Dr. Jerry A Benham , MD

Orthopaedic Surgery • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Benham, MD is a certified Orthopaedic Surgery practicing in Waco, TX. With approximately 41 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1985, Dr. Benham delivers high-quality medical care to the local community at 7125 NEW SANGER AVE.

Dr. Benham is affiliated with Providence Health Alliance and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7125 New Sanger Ave
Suite 516

Waco, TX 76712

Telephone 2547529638

Fax 2547522201

Associated Practice Facility / Clinic

🏢 Waco Orthopedic Clinic Facility NPI 1417020959

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Waco, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

13 Specialists

Practicing in Waco, TX (1627 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benham (41 Years) 41 Yrs

Waco Specialty Average (24.5 Years) 24.5 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
J1010 Injection, methylprednisolone acetate, 1 mg	10,991	182	$0.65	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	183	$313.23	$122.72
99213 Established patient office or other outpatient visit, typically 15 minutes	208	155	$212.55	$87.06
73562 X-ray of knee, 3 views	199	124	$102.15	$38.59
20610 Aspiration and/or injection of fluid from large joint	169	120	$222.76	$70.16
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	162	127	$291.10	$97.80
73502 X-ray of hip, 2-3 views	144	92	$118.44	$44.62
73564 X-ray of knee, 4 or more views	113	95	$119.92	$44.98
J1030 Injection, methylprednisolone acetate, 40 mg	90	71	$9.00	$6.34
73030 X-ray of shoulder, minimum of 2 views	64	50	$87.10	$31.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$478.83	$156.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$313.98	$105.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	38	$422.28	$170.60
27447 Replacement of knee joint, both sides of knee	39	36	$4016.31	$1219.71
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	28	19	$2373.72	$677.38
73501 X-ray of hip with pelvis, 1 view	20	19	$28.26	$8.72
27130 Replacement of thigh bone and hip joint with prosthesis	20	19	$3867.51	$1183.92
72100 X-ray of lower and sacral spine, 2-3 views	15	14	$100.44	$37.67
73521 X-ray of both hips, 2 views	11	11	$106.29	$36.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	302	171	$9.00	$7.56
99213 Established patient office or other outpatient visit, typically 15 minutes	201	157	$212.55	$86.79
73562 X-ray of knee, 3 views	191	121	$102.15	$38.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	167	$313.23	$122.44
20610 Aspiration and/or injection of fluid from large joint	146	109	$230.04	$71.60
73502 X-ray of hip, 2-3 views	125	89	$118.44	$45.42
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	119	86	$295.54	$100.21
73564 X-ray of knee, 4 or more views	113	87	$120.64	$45.10
73030 X-ray of shoulder, minimum of 2 views	64	47	$88.43	$32.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	45	$422.28	$171.07
27447 Replacement of knee joint, both sides of knee	47	44	$4016.31	$1236.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$478.83	$161.32
73501 X-ray of hip with pelvis, 1 view	28	28	$28.26	$8.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$313.98	$108.34
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	20	12	$2373.72	$707.30
73552 X-ray of thigh bone, minimum 2 views	19	13	$93.15	$34.45
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$4018.17	$1237.28
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$100.44	$38.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$598.89	$168.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$126.18	$54.66
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3642.12	$1182.50
73110 X-ray of wrist, minimum of 3 views	12	11	$101.07	$39.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	284	172	$9.00	$6.37
99213 Established patient office or other outpatient visit, typically 15 minutes	218	179	$212.55	$87.08
73562 X-ray of knee, 3 views	200	125	$101.78	$38.77
73502 X-ray of hip, 2-3 views	173	101	$114.52	$44.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	162	$313.23	$122.89
20610 Aspiration and/or injection of fluid from large joint	136	110	$221.08	$69.68
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	106	75	$289.05	$99.56
73564 X-ray of knee, 4 or more views	103	92	$116.65	$43.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$313.98	$108.20
73030 X-ray of shoulder, minimum of 2 views	64	45	$85.39	$33.02
27447 Replacement of knee joint, both sides of knee	45	45	$4016.31	$1195.20
73501 X-ray of hip with pelvis, 1 view	28	25	$28.26	$9.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	26	$126.18	$54.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	20	$404.31	$129.22
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$4018.17	$1207.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$478.83	$161.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	286	171	$9.00	$5.60
99213 Established patient office or other outpatient visit, typically 15 minutes	237	182	$212.55	$89.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	190	$313.23	$125.69
73562 X-ray of knee, 3 views	192	130	$102.15	$39.25
73502 X-ray of hip, 2-3 views	153	95	$113.45	$43.51
20610 Aspiration and/or injection of fluid from large joint	127	96	$225.49	$69.99
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	125	92	$302.66	$102.44
73030 X-ray of shoulder, minimum of 2 views	76	48	$85.75	$33.13
73564 X-ray of knee, 4 or more views	69	58	$118.82	$43.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$313.98	$108.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$478.83	$163.86
27447 Replacement of knee joint, both sides of knee	37	36	$4016.31	$1191.93
73501 X-ray of hip with pelvis, 1 view	28	27	$28.26	$9.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$126.18	$52.89
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	22	13	$2373.72	$761.99
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$4018.17	$1247.38
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3538.41	$1128.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$404.31	$131.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	299	208	$212.55	$73.57
J1030 Injection, methylprednisolone acetate, 40 mg	299	174	$9.00	$5.96
73562 X-ray of knee, 3 views	213	132	$102.15	$37.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	145	$313.23	$106.97
73502 X-ray of hip, 2-3 views	146	91	$118.44	$42.89
20610 Aspiration and/or injection of fluid from large joint	129	99	$227.21	$67.20
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	119	85	$293.30	$96.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$313.98	$103.50
73030 X-ray of shoulder, minimum of 2 views	74	51	$93.44	$31.37
73564 X-ray of knee, 4 or more views	52	43	$118.99	$41.28
73610 X-ray of ankle, minimum of 3 views	25	11	$90.06	$33.80
27447 Replacement of knee joint, both sides of knee	24	23	$4185.57	$1376.47
73501 X-ray of hip with pelvis, 1 view	20	19	$28.26	$9.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$126.18	$44.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$404.31	$137.06
27130 Replacement of thigh bone and hip joint with prosthesis	14	13	$4018.17	$1308.43
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3538.41	$1100.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	350	249	$212.55	$70.97
J1030 Injection, methylprednisolone acetate, 40 mg	298	195	$9.00	$6.11
73562 X-ray of knee, 3 views	254	169	$100.89	$34.68
73502 X-ray of hip, 2-3 views	178	108	$118.25	$40.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	170	$313.23	$103.75
20610 Aspiration and/or injection of fluid from large joint	150	114	$187.52	$64.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	132	132	$313.98	$103.14
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	124	95	$275.02	$88.93
73030 X-ray of shoulder, minimum of 2 views	86	65	$82.66	$28.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	59	$126.18	$42.66
73564 X-ray of knee, 4 or more views	72	58	$103.00	$39.50
73610 X-ray of ankle, minimum of 3 views	47	15	$90.06	$31.64
27447 Replacement of knee joint, both sides of knee	43	42	$4110.78	$1313.72
73560 X-ray of knee, 1-2 views	25	14	$87.99	$30.62
73070 X-ray of elbow, 2 views	16	11	$77.91	$24.21
27130 Replacement of thigh bone and hip joint with prosthesis	15	14	$4018.17	$1329.80
72170 X-ray of pelvis, 1-2 views	13	11	$91.05	$31.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	507	312	$201.00	$69.73
J1030 Injection, methylprednisolone acetate, 40 mg	373	228	$10.00	$6.61
73562 X-ray of knee, 3 views	313	194	$125.80	$33.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	186	$298.00	$103.71
20610 Aspiration and/or injection of fluid from large joint	201	155	$286.06	$64.15
73501 X-ray of hip with pelvis, 1 view	186	102	$210.12	$27.16
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	137	100	$820.42	$88.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$299.00	$103.88
73030 X-ray of shoulder, minimum of 2 views	88	58	$111.00	$27.32
27447 Replacement of knee joint, both sides of knee	61	59	$6467.00	$1277.68
73564 X-ray of knee, 4 or more views	46	41	$140.00	$36.47
73560 X-ray of knee, 1-2 views	39	22	$99.00	$27.86
27130 Replacement of thigh bone and hip joint with prosthesis	27	26	$6458.59	$1284.18
73110 X-ray of wrist, minimum of 3 views	26	19	$112.00	$32.57
73610 X-ray of ankle, minimum of 3 views	25	13	$121.00	$29.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$120.00	$42.15
73502 X-ray of hip, 2-3 views	21	16	$240.95	$34.48
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$286.00	$98.63
73070 X-ray of elbow, 2 views	16	11	$96.00	$25.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$73.30	$51.73
72170 X-ray of pelvis, 1-2 views	14	13	$109.00	$28.41
73552 X-ray of thigh bone, minimum 2 views	14	12	$230.00	$23.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	525	341	$201.00	$69.24
J1030 Injection, methylprednisolone acetate, 40 mg	364	230	$10.00	$5.67
73562 X-ray of knee, 3 views	332	199	$125.38	$33.53
20610 Aspiration and/or injection of fluid from large joint	200	153	$291.93	$64.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	188	$298.00	$102.03
73501 X-ray of hip with pelvis, 1 view	186	104	$209.00	$26.74
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	128	104	$835.13	$87.87
73030 X-ray of shoulder, minimum of 2 views	104	73	$111.00	$26.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$299.00	$102.17
73564 X-ray of knee, 4 or more views	64	51	$140.00	$37.22
27447 Replacement of knee joint, both sides of knee	56	55	$6369.20	$1297.66
73560 X-ray of knee, 1-2 views	33	22	$99.00	$27.65
73070 X-ray of elbow, 2 views	31	13	$96.00	$25.55
73502 X-ray of hip, 2-3 views	31	27	$230.00	$37.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$120.00	$41.39
27130 Replacement of thigh bone and hip joint with prosthesis	22	20	$5388.14	$1066.48
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$118.00	$31.84
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$286.00	$98.16
72170 X-ray of pelvis, 1-2 views	18	17	$109.00	$29.91
73552 X-ray of thigh bone, minimum 2 views	17	15	$230.00	$26.85
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	16	11	$1250.40	$869.20
73501 X-ray of hip with pelvis, 1 view	16	14	$209.00	$9.27
73130 X-ray of hand, minimum of 3 views	15	13	$105.00	$28.91

Medical Specialties & State Licenses

CMS Verified: 2026-06-25

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX H0173

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

102133902 (TX)

Hospital & Practice Group Affiliations

Providence Health Alliance

6901 Medical Pkwy, Waco, TX 767127910

Phone: 2547514000

Practice Associates & Co-Workers

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

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Dr. J Ethridge , MD

Orthopaedic Surgery

NPI 1285694430

Doctor of Medicine (M.D.)

Dr. Stephen Sierra , MD

Orthopaedic Surgery - Sports Medicine

NPI 1295228591

Doctor of Medicine (M.D.)

Dr. Chad Conner , MD

Orthopaedic Surgery

NPI 1578767133

Doctor of Medicine (M.D.)

Greg Palm , PA

Physician Assistant - Surgical

NPI 1588056782

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 25, 2026

Registered at 7125 NEW SANGER AVE, SUITE 516, WACO, TX 76712 (Tel: 2547529638)

👤

Provider Name / Credentials Updated June 25, 2026

Recorded as JERRY BENHAM, MD

✅

NPI Profile Active December 29, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2009

Registered at 6600 FISH POND RD, SUITE 201, WACO, TX 767102581 (Tel: 2547529638)

📍

Updated Business Mailing Address December 29, 2009

Registered at 6600 FISH POND RD, SUITE 201, WACO, TX 767102581 (Tel: 2547529638)

👤

Provider Name / Credentials Updated December 29, 2009

Recorded as JERRY BENHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2009

Orthopaedic Surgery (License #H0173 in TX)

🟢

Initial NPI Registration & Enumeration March 25, 2006

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: 1245290972

Entity Type:

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

Enumeration Date: March 25, 2006

Last Update: June 25, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6600 Fish Pond Rd, Suite 201

Waco, TX 767102581

Phone: 2547529638

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.