Doctor profile · Federal record
Dr. Douglas Benkelman, MD
Emergency Medicine Physician (CMS: Emergency Medicine) · Winchester, VA
- NPI 1518926567
- Accepts Medicare
- 31 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1840 Amherst St
Winchester, VA 226012808
(540) 536-8000
fax (540) 536-7681
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- January 27, 2023
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- Virginia #0101233812
- Medicaid (2)
- VA #010206375 · WV #3810003606
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518926567. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
222
Distinct HCPCS
4
Medicare allowed
$24,506
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99238 |
Hospital discharge day management, 30 minutes or less | 91 | 91 | $79 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 69 | 68 | $125 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | 41 | $172 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 21 | 20 | $78 |
In context: peer comparison
Among 15 peers in Winchester Emergency Medicine Physician, average services per provider: 149. This provider delivers 1.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
42
Patients
41
Total drug cost
$210
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Prednisone | Generic | 17 | 16 | $64 |
| Cephalexin | Generic | 13 | 13 | $96 |
| Tramadol Hcl | Generic | 12 | 12 | $50 |
Hospital affiliations
Frequently asked questions
What is Dr. Douglas Benkelman's medical specialty?
Dr. Douglas Benkelman practices Emergency Medicine Physician in Winchester, VA.
Where does Dr. Douglas Benkelman practice?
Dr. Douglas Benkelman practices at 1840 Amherst St, Winchester, VA 226012808. Office phone: 5405368000.
What is Dr. Douglas Benkelman's NPI?
Dr. Douglas Benkelman's National Provider Identifier (NPI) is 1518926567, issued by NPPES.
Does Dr. Douglas Benkelman accept Medicare assignment?
Yes. Dr. Douglas Benkelman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Douglas Benkelman commonly perform?
Top Medicare-reported procedures in 2023: Hospital discharge day management (HCPCS 99238); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.