Michael Benca, MD
NPI 1588774061 · Cardiovascular Disease Physician · San Marcos, TX
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Benca, MD is a Cardiovascular Disease Physician provider in San Marcos, TX (NPI 1588774061).
Provider details
- NPI number
- 1588774061
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- P7245 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,991 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 1,009 | $125 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 396 | $14 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 345 | $173 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 229 | $164 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 163 | $77 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 195 | 73 |
| Apixabanbrand: Eliquis | 192 | 66 |
| Atorvastatin Calcium | 160 | 63 |
| Valsartan | 153 | 57 |
| Amlodipine Besylate | 146 | 68 |
| Rosuvastatin Calcium | 133 | 59 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$223 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1850 W State Highway 46 Ste 109New Braunfels, TX 78132-5283Phone: (830) 643-7000
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Frequently asked questions
- What is Michael Benca's NPI number?
- Michael Benca's National Provider Identifier (NPI) is 1588774061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Benca's specialty?
- Michael Benca is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Benca located?
- Michael Benca's practice location on file with NPPES is 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695.
- What is Michael Benca's phone number?
- The practice phone number listed in the NPPES registry for Michael Benca is (512) 353-6400.
- Does Michael Benca accept Medicare?
- Michael Benca is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Benca's NPI active?
- Yes — Michael Benca's NPI (1588774061) is active in the NPPES registry as of the last update on 2021-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.