Active NPI 1235182122 Individual Practitioner Male Practitioner

Dr. Benigno Waldo A Dagan , MD

Internal Medicine • Sumner, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Benigno Waldo Dagan, MD is a certified Internal Medicine practicing in Sumner, WA. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Dagan delivers high-quality medical care to the local community at 1420 MAIN ST.

Dr. Dagan maintains professional affiliations with Select Outpatient Services Inc, Select Rehabilitation, Llc and accepts Medicare assignment.

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, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1420 Main St

Sumner, WA 98390

Telephone 2539875156

Fax 2539875462

Associated Practice Facility / Clinic

🏢 Cornerstone Medical Clinic Facility NPI 1235460676

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sumner, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Sumner, WA (3169 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dagan (36 Years) 36 Yrs

Sumner Specialty Average (36.0 Years) 36.0 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	1,356	441	$210.00	$126.28
99213 Established patient office or other outpatient visit, typically 15 minutes	226	161	$160.00	$90.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$257.00	$129.29
81002 Urinalysis, manual test	43	33	$11.00	$3.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$276.00	$160.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$275.00	$176.50
17110 Destruction of up to 14 skin growths	19	17	$111.00	$109.59

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	1,501	477	$210.00	$126.39
99213 Established patient office or other outpatient visit, typically 15 minutes	393	232	$160.00	$89.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$257.00	$126.95
81002 Urinalysis, manual test	66	43	$11.00	$3.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$276.00	$165.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	35	$275.00	$174.49
17110 Destruction of up to 14 skin growths	22	20	$111.00	$109.37
20610 Aspiration and/or injection of fluid from large joint	21	19	$160.00	$66.07
69210 Removal of impacted ear wax	14	13	$107.00	$45.83
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$60.00	$13.61

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	1,424	459	$210.00	$127.93
99213 Established patient office or other outpatient visit, typically 15 minutes	466	261	$160.00	$90.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	113	98	$275.00	$180.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	93	93	$257.00	$130.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$276.00	$161.63
81002 Urinalysis, manual test	41	28	$11.00	$3.44
17110 Destruction of up to 14 skin growths	24	16	$111.00	$110.04
69210 Removal of impacted ear wax	14	14	$107.00	$47.69
20610 Aspiration and/or injection of fluid from large joint	13	11	$160.00	$62.61

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	1,092	418	$210.00	$130.03
99213 Established patient office or other outpatient visit, typically 15 minutes	810	371	$160.00	$91.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$257.00	$132.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$276.00	$165.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$275.00	$176.79
17110 Destruction of up to 14 skin growths	19	17	$111.00	$111.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$211.00	$113.15
69210 Removal of impacted ear wax	13	13	$107.00	$48.03
20610 Aspiration and/or injection of fluid from large joint	12	11	$160.00	$62.21

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	1,079	392	$210.00	$109.44
99213 Established patient office or other outpatient visit, typically 15 minutes	659	297	$160.00	$75.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$257.00	$117.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	41	$275.00	$147.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$276.00	$165.91
J1020 Injection, methylprednisolone acetate, 20 mg	23	16	$15.00	$3.51
17110 Destruction of up to 14 skin growths	22	20	$111.00	$108.15
20610 Aspiration and/or injection of fluid from large joint	21	18	$160.00	$61.77
69210 Removal of impacted ear wax	14	12	$107.00	$48.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$211.00	$108.81

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	1,279	447	$210.00	$105.85
99213 Established patient office or other outpatient visit, typically 15 minutes	719	316	$160.00	$72.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$257.85	$111.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	84	75	$275.00	$138.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	11	$58.00	$16.28
20610 Aspiration and/or injection of fluid from large joint	20	16	$160.00	$59.27
17110 Destruction of up to 14 skin growths	18	14	$111.00	$105.94
J1020 Injection, methylprednisolone acetate, 20 mg	17	14	$15.00	$3.73
17000 Destruction of skin growth	15	14	$110.00	$61.86
69210 Removal of impacted ear wax	13	13	$107.00	$46.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$276.00	$161.41

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	1,280	456	$210.00	$101.40
99213 Established patient office or other outpatient visit, typically 15 minutes	720	326	$160.00	$68.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	115	98	$275.00	$137.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$257.00	$110.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	22	$58.00	$19.26
20610 Aspiration and/or injection of fluid from large joint	29	23	$160.00	$53.47
J1030 Injection, methylprednisolone acetate, 40 mg	25	20	$50.00	$6.70
17110 Destruction of up to 14 skin growths	18	16	$111.00	$104.02
69210 Removal of impacted ear wax	14	13	$107.00	$46.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$276.00	$156.81

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	1,575	508	$210.00	$99.90
99213 Established patient office or other outpatient visit, typically 15 minutes	628	330	$160.00	$68.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	90	$275.00	$132.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	92	92	$250.00	$107.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	27	$58.00	$23.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$276.00	$152.49
20610 Aspiration and/or injection of fluid from large joint	28	23	$160.00	$55.47
17110 Destruction of up to 14 skin growths	23	19	$111.00	$101.03
J1030 Injection, methylprednisolone acetate, 40 mg	22	21	$50.00	$5.63
J1020 Injection, methylprednisolone acetate, 20 mg	17	15	$15.00	$4.98
69210 Removal of impacted ear wax	17	15	$107.00	$44.17
81002 Urinalysis, manual test	15	14	$10.53	$3.43

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00036169

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

2004507 (WA)

Commercial Insurance / Payer ID Aetna Provider Number

5496722 (WA)

Commercial Insurance / Payer ID L & I Provider Number

0185591 (WA)

Commercial Insurance / Payer ID Tricare Provider Number

98390A015 (WA)

Commercial Insurance / Payer ID Regence Rider Number

9869DA (WA)

Commercial Insurance / Payer ID Kps Provider Number

911203494BP (WA)

Hospital & Practice Group Affiliations

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Select Outpatient Services Inc

2600 Compass Rd, Glenview, IL 600268001

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Ariana Mcdonald , DNP, ARNP, FNP-C

Nurse Practitioner - Family

NPI 1922650357

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2011

Registered at 1420 MAIN ST, SUMNER, WA 98390 (Tel: 2539875156)

📍

Updated Business Mailing Address May 10, 2011

Registered at 1420 MAIN ST, SUMNER, WA 98390 (Tel: 2539875156)

👤

Provider Name / Credentials Updated May 10, 2011

Recorded as BENIGNO WALDO DAGAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2011

Internal Medicine (License #MD00036169 in WA)

🟢

Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235182122

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: May 10, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1420 Main St

Sumner, WA 98390

Phone: 2539875156

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.