CMS-1500 Box 24J / 33a • NPI
1104058817
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
208600000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
257 HOSPITAL DRIVE SUITE 200, BOLIVIA, NC, 28422-8411
✓ 9-Digit EDI 837 ZIP+4 (28422-8411)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104058817 (MATT AARON BENENATI, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1104058817)
Medicare Beneficiaries
134
Total Billed Services
566
Distinct CPT/HCPCS Codes
56
Medicare Allowed Total
$325,676.08
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 14 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 14 |
99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 12 |
99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 12 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 58 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 28 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 15 | 14 |
| Omeprazole Omeprazole | 41 | 16 |
| Ondansetron Hcl Ondansetron Hcl | 20 | 20 |
| Pantoprazole Sodium Pantoprazole Sodium | 24 | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104058817 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MATT AARON BENENATI, DO |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 208600000X (Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 257 HOSPITAL DRIVE SUITE 200, BOLIVIA, NC, 28422-8411 |
| Practice Telephone / Fax | Tel: (910) 721-4000 | Fax: (910) 721-4001 |
| Administrative Mailing Address | PO BOX 60447, CHARLOTTE, NC, 28260-0447 |
| Enumeration & Last Sync | Enumerated: 2009-08-13 | CMS Record Updated: 2023-05-11 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208600000X)
What Does Taxonomy Code 208600000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MATT AARON BENENATI, DO)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: NC | License: 2015-01345 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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