Theodore Benke, M.D.
NPI 1295786135 · Facial Plastic Surgery Physician · Cleburne, TX
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Benke, M.D. is a Facial Plastic Surgery Physician provider in Cleburne, TX (NPI 1295786135).
Provider details
- NPI number
- 1295786135
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- H7889 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,024 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 282 | $128 |
| Removal of Impacted Ear Wax69210 | 198 | $48 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 160 | $168 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 102 | $90 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 87 | $17 |
| Removal of Impacted Cerumen (one Or Both Ears) By Physician on Same Date of Service As Audiologic Function Testing |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azelastine Hcl | 75 | 26 |
| Clotrimazole | 33 | 27 |
| Acetic Acid | 32 | 24 |
| Ciprofloxacin Hcl/Dexamethbrand: Ciprofloxacin-Dexamethasone | 19 | 17 |
| Triamterene/Hydrochlorothiazidbrand: Triamterene-Hydrochlorothiazid | 19 | — |
| Ofloxacin | 18 | 17 |
| Ipratropium Bromide | 17 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2022-04-14
- Certified
- 2022-04-14
Frequently asked questions
- What is Theodore Benke's NPI number?
- Theodore Benke's National Provider Identifier (NPI) is 1295786135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Benke's specialty?
- Theodore Benke is listed in the NPPES registry with a primary specialty of Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Benke located?
- Theodore Benke's practice location on file with NPPES is 1317 Glenwood Dr, Cleburne, TX 76033.
- What is Theodore Benke's phone number?
- The practice phone number listed in the NPPES registry for Theodore Benke is (817) 641-3750.
- Does Theodore Benke accept Medicare?
- Theodore Benke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Benke's NPI active?
- Yes — Theodore Benke's NPI (1295786135) is active in the NPPES registry as of the last update on 2022-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.