Doctor profile · Federal record
Dr. Paula Benes, M.D.
Physical Medicine & Rehabilitation Physician (CMS: Physical Medicine and Rehabilitation) · Physical Medicine & Rehabilitation Physician · Spinal Cord Injury Medicine Physician · Edwardsville, IL
- NPI 1346263647
- Accepts Medicare
- MIPS 66.6 / 100 · 2023
- 30 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3402 Anderson Healthcare Dr
Edwardsville, IL 620257712
(877) 749-7428
fax (512) 628-3314 - Mailing address
-
1776 Woodstead CT Ste 208
The Woodlands, TX 773801480
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- October 22, 2025
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 208100000X — NUCC code
- State licenses (2)
- Illinois #036.168593 · Missouri #2016016252
- Medicaid (3)
- WI #1346263647 · IL #200051119 · WI #33344900
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1346263647. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
847
Distinct HCPCS
4
Medicare allowed
$88,818
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 390 | 116 | $115 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 294 | 102 | $77 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 110 | 104 | $169 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 53 | 31 | $48 |
In context: peer comparison
Among 2 peers in Edwardsville Physical Medicine & Rehabilitation Physician, average services per provider: 229. This provider delivers 3.7× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
131
Patients
47
Total drug cost
$6,796
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 32 | 20 | $276 |
| Baclofen | Generic | 25 | 0 | $1,265 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 17 | 16 | $112 |
| Pantoprazole Sodium | Generic | 17 | 0 | $107 |
| Oxybutynin Chloride ER (Oxybutynin Chloride) | Brand | 14 | 0 | $691 |
| Oxycodone Hcl | Generic | 14 | 11 | $64 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 12 | 0 | $4,280 |
Frequently asked questions
What is Dr. Paula Benes's medical specialty?
Dr. Paula Benes practices Physical Medicine & Rehabilitation Physician in Edwardsville, IL.
Where does Dr. Paula Benes practice?
Dr. Paula Benes practices at 3402 Anderson Healthcare Dr, Edwardsville, IL 620257712. Office phone: 8777497428.
What is Dr. Paula Benes's NPI?
Dr. Paula Benes's National Provider Identifier (NPI) is 1346263647, issued by NPPES.
Does Dr. Paula Benes accept Medicare assignment?
Yes. Dr. Paula Benes accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Paula Benes commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.