Luis Benalcazar, M.D.
NPI 1801878269 · Internal Medicine Physician · Elizabeth, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Benalcazar, M.D. is a Internal Medicine Physician provider in Elizabeth, NJ (NPI 1801878269).
Provider details
- NPI number
- 1801878269
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2325031 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
747 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 | 237 | $140 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 112 | $91 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 59 | $68 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 58 | $141 |
| Ultrasound of Leg Arteries Or Artery Grafts93925 | 36 | $273 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 311 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 1,444 | 359 |
| Atorvastatin Calcium | 1,424 | 502 |
| Famotidine | 1,151 | 352 |
| Rosuvastatin Calcium | 1,070 | 360 |
| Metoprolol Succinate | 893 | 300 |
| Levothyroxine Sodium | 859 | 237 |
| Amlodipine Besylate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$868 across 57 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
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Frequently asked questions
- What is Luis Benalcazar's NPI number?
- Luis Benalcazar's National Provider Identifier (NPI) is 1801878269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Benalcazar's specialty?
- Luis Benalcazar is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Luis Benalcazar located?
- Luis Benalcazar's practice location on file with NPPES is 624 Newark Ave, Elizabeth, NJ 07208-3539.
- What is Luis Benalcazar's phone number?
- The practice phone number listed in the NPPES registry for Luis Benalcazar is (908) 353-3626.
- Does Luis Benalcazar accept Medicare?
- Luis Benalcazar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Benalcazar's NPI active?
- Yes — Luis Benalcazar's NPI (1801878269) is active in the NPPES registry as of the last update on 2025-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.