CMS-1500 Box 24J / 33a • NPI
1487822730
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RG0100X (CMS 10)
Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)
Box 32 Service Location & ZIP+4
1011 N FRASER ST, GEORGETOWN, SC, 29440-2848
✓ 9-Digit EDI 837 ZIP+4 (29440-2848)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487822730 (PAUL WESLEY BENSON, M.D.) 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 #1487822730)
Medicare Beneficiaries
433
Total Billed Services
887
Distinct CPT/HCPCS Codes
61
Medicare Allowed Total
$116,666.65
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11 |
43237 | Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth | 19 |
43238 | Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope | 17 |
43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 121 |
43264 | Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 17 |
43274 | Insertion of stent into pancreatic or bile duct using a flexible endoscope | 22 |
43450 | Dilation of esophagus | 22 |
45378 | Diagnostic exam of large bowel using a flexible endoscope | 12 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Azathioprine Azathioprine | 37 | <11 |
| Balsalazide Disodium Balsalazide Disodium | 16 | <11 |
| Dexilant Dexlansoprazole | 12 | <11 |
| Famotidine Famotidine | 12 | <11 |
| Furosemide Furosemide | 30 | <11 |
| Humira Pen Adalimumab | 19 | <11 |
| Humira(Cf) Pen Adalimumab | 12 | <11 |
| Mesalamine Mesalamine | 28 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487822730 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PAUL WESLEY BENSON, M.D. |
| Plain-English Specialty | Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) NUCC Code: 207RG0100X (Internal Medicine, Gastroenterology) |
| Certifying / Licensing Body | American Board of Internal Medicine — Gastroenterology |
| Practice Location Address | 1011 N FRASER ST, GEORGETOWN, SC, 29440-2848 |
| Practice Telephone / Fax | Tel: (843) 527-3428 | Fax: (843) 436-0223 |
| Administrative Mailing Address | PO BOX 421718, GEORGETOWN, SC, 29442-4203 |
| Enumeration & Last Sync | Enumerated: 2008-02-20 | CMS Record Updated: 2025-12-03 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RG0100X)
What Does Taxonomy Code 207RG0100X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RG0100X translates to:
"Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PAUL WESLEY BENSON, M.D.)
Typical CPT / Diagnostic Procedures:- Screening & Diagnostic Colonoscopy with Polypectomy (CPT 45378–45385)
- Esophagogastroduodenoscopy / Upper GI Endoscopy (EGD — CPT 43239)
- Hepatic Elastography (FibroScan) & Fractionated Bilirubin/LFT Workup
- Internal Hemorrhoid Banding & Anorectal Diagnostic Evaluation
- Proton Pump Inhibitors (Omeprazole, Pantoprazole, Esomeprazole)
- H. pylori Quadruple & Triple Eradication Regimens
- Mesalamine & Biologic Immunomodulators (Inflammatory Bowel Disease)
- Osmotic Laxatives, Rifaximin & Ursodeoxycholic Acid
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RG0100X — Internal Medicine, GastroenterologyPlain English: Board-Certified Gastroenterologist (Digestive Tract & Liver Specialist) | State: NC | License: 141573 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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