Douglas Benkelman, MD
NPI 1518926567 · Emergency Medicine Physician · Winchester, VA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Benkelman, MD is a Emergency Medicine Physician provider in Winchester, VA (NPI 1518926567).
Provider details
- NPI number
- 1518926567
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101233812 (VA)
Specialties & taxonomies
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
203 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) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 86 | $121 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 54 | $115 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 30 | $79 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 17 | $79 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 16 | $168 |
Typical Medicare-allowed amounts for these services range $79–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 21 | 20 |
| Furosemide | 16 | 11 |
| Cephalexin | 15 | 15 |
| Doxycycline Hyclate | 15 | 13 |
| Metoprolol Succinate | 15 | — |
| Amlodipine Besylate | 13 | — |
| Azithromycin | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2023-01-27
- Certified
- 2023-01-27
Frequently asked questions
- What is Douglas Benkelman's NPI number?
- Douglas Benkelman's National Provider Identifier (NPI) is 1518926567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Benkelman's specialty?
- Douglas Benkelman is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Benkelman located?
- Douglas Benkelman's practice location on file with NPPES is 1840 Amherst St, Winchester, VA 22601-2808.
- What is Douglas Benkelman's phone number?
- The practice phone number listed in the NPPES registry for Douglas Benkelman is (540) 536-8000.
- Does Douglas Benkelman accept Medicare?
- Douglas Benkelman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Benkelman's NPI active?
- Yes — Douglas Benkelman's NPI (1518926567) is active in the NPPES registry as of the last update on 2023-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.