Dr. Scott Wald Benninghoven, MD

  • San Jose, CA
  • General surgeon
NPI1528189651PAC ID2668439100
Medicare services, 2024
77
Medicare patients, 2024
66
Part D claims, 2024
18
MIPS score, 2024
61
Hospital affiliations
2
Practice address
751 S Bascom Ave, San Jose, CA 95128
Practice phone
Call (408) 885-5000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Saint Louise Regional Hospital

San Jose, California

See all 10 affiliations

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Dr. Scott Wald Benninghoven is a general surgeon in San Jose, California

Dr. Benninghoven practices at Saint Louise Regional Hospital in San Jose, California.

Dr. Benninghoven's NPI, 1528189651, was assigned on April 3, 2007. Dr. Benninghoven graduated from Keck School of Medicine of USC in 1984. Dr. Benninghoven holds California license G55118.

NPI and contact details
Medicare PAC ID
2668439100
NPI enumeration date
April 3, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(408) 885-5000
Professional email
Get email
Personal email
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Mobile number
Get number
Sex
Male
Estimated age
68
Medical school graduation
1984

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Scott Wald Benninghoven practices at Saint Louise Regional Hospital in San Jose, California

Dr. Benninghoven's primary practice is Saint Louise Regional Hospital, at 751 S Bascom Ave, San Jose, CA 95128 in Santa Clara County. The practice phone is (408) 885-5000.

  • Saint Louise Regional Hospital
    751 S Bascom Ave, San Jose, CA 95128 · Santa Clara CountyPhone(408) 885-5000

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Scott Wald Benninghoven is affiliated with 5 sites of care and 5 medical groups

Dr. Benninghoven's primary practice is Saint Louise Regional Hospital in San Jose, California. Dr. Benninghoven is also affiliated with Santa Clara Valley Medical Center. The medical group on file is County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic. Dmand AI also links Dr. Benninghoven to 1 more hospital, 4 medical groups and 2 group practices and clinics, each named with a free account.

See all 10 affiliations for Dr. Benninghoven

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Scott Wald Benninghoven's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Benninghoven practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Saint Louise Regional HospitalAvailable with a free account
+4 more sites and 4 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Scott Wald Benninghoven is one of 2,926 general surgeons in California

Surgery is Dr. Benninghoven's primary specialty in the NPI Registry, under taxonomy code 208600000X. Dr. Benninghoven is board certified in surgery by the American Board of Surgery. Dr. Benninghoven is licensed in California.

Specialties and state licenses

  • Surgery, CaliforniaPrimaryLicense G55118 · 1985 to 2026 · taxonomy 208600000X

General surgeons near Dr. Benninghoven

Counts of general surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Scott Wald Benninghoven billed Medicare for 77 services in 2024

CMS data shows 77 Medicare services from Dr. Benninghoven across 2 procedure codes in 2024, for 66 Medicare patients. Medicare paid $6,478 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 202477
Medicare patients66
Paid by Medicare$6,478
Procedure codes2

Dr. Benninghoven's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 562024: 7738%

Dr. Benninghoven compared with the California median for general surgeons, 2024

  • Dr. Benninghoven
  • California median
Medicare services
77vs 16654% below
Medicare patients
66vs 12145% below
Part D claims
15vs 3456% below

Medians across 2,606 general surgeons in California with Dmand AI profiles that report each measure.

Dr. Benninghoven's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Benninghoven

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Scott Wald Benninghoven treated 66 Medicare patients in 2024, average age 72

CMS counts 66 Medicare patients who saw Dr. Benninghoven in 2024. The largest group is 75 to 84, with 27 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 47% are also on Medicaid. Their average risk score is 2.56, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Benninghoven's median patient age at 63, with 33% women.

Medicare patients, 202466
Average age72
Average risk score2.56
Also on Medicaid47%

Dr. Benninghoven's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Benninghoven's Medicare patients by sex, 2024

  • Women3147%
  • Men3553%

Chronic conditions among Dr. Benninghoven's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes56%
  4. Arthritis45%
  5. Ischemic heart disease44%
  6. Chronic kidney disease42%
  7. Heart failure41%
  8. Atrial fibrillation36%

Share of Medicare patients with each condition. A patient can have several.

Dr. Benninghoven's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women33%
  • Men67%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Scott Wald Benninghoven wrote 18 Medicare Part D claims in 2024

In 2024, Dr. Benninghoven wrote 18 Medicare Part D claims. 89% of them were for generic drugs. CMS names the drug for 15 of them, across 1 drug with 11 or more claims each, at $91 in total drug cost. In 2021, CMS named 19 claims across 1 drug.

Part D claims, 202418
Drugs named by CMS1
Total drug cost$91

Dr. Benninghoven's Part D claims by kind of drug, 2024

  • Generic16 claims89%
  • Brand-name and other2 claims11%

Dr. Benninghoven's most prescribed drugs by claims, 2023

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2021 to 2023

  • 2021
  • 2023
Claims for drugs CMS names
2021: 192023: 1521%

Drugs named by CMS: 1 in 2023, 1 in 2021.

See all prescribing by Dr. Benninghoven

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Scott Wald Benninghoven scored 61 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 61 out of 100 for Dr. Benninghoven for performance year 2024, reported as part of a group. Dr. Benninghoven accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Benninghoven's MIPS scores, performance year 2024

  • 61of 100Final score
  • 59.4of 100Quality
  • 0of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 71of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Scott Wald Benninghoven received $3,085 in industry payments from 2016 to 2024

CMS Open Payments shows 24 general payments to Dr. Benninghoven from 8 drug and device companies from 2016 to 2024. Travel and lodging make up the largest share, 47% of the total. Intuitive Surgical, Inc. paid the most, $2,568.

General payments to Dr. Benninghoven by program year, 2016 to 2024

General payments to Dr. Benninghoven by kind, 2016 to 2024

$3.1Kin total
  • Travel and lodging$1,45347%
  • Education$1,00032%
  • Food and beverage$63120%

Companies that paid Dr. Benninghoven the most, 2016 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Benninghoven

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Scott Wald Benninghoven graduated from Keck School of Medicine of USC

Dr. Benninghoven graduated from Keck School of Medicine of USC in 1984.

  1. Medical schoolKeck School of Medicine of USC
  2. Board certified in surgeryAmerican Board of Surgery

Source: Dmand AI Professional Profile Data

Dr. Scott Wald Benninghoven accepts plans from 8 insurance carriers

Dr. Benninghoven is in network with 8 carriers, including Blue Cross Blue Shield of Michigan, Blue Cross Blue Shield of Massachusetts and HCSC. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Aetna
  • Cigna
  • CMS Medicare
  • Molina

Plan types Dr. Benninghoven accepts, by number of carriers

  1. Medicare6
  2. PPO5
  3. POS2
  4. HMO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Scott Wald Benninghoven's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Scott Wald Benninghoven

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Scott Wald Benninghoven's NPI number?

Dr. Scott Wald Benninghoven's NPI number is 1528189651. It was assigned on April 3, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Scott Wald Benninghoven?

Dr. Scott Wald Benninghoven is a general surgeon in San Jose, California. The primary specialty in the NPI Registry is Surgery Physician (taxonomy code 208600000X).

Where does Dr. Scott Wald Benninghoven practice?

Dr. Benninghoven practices at 751 S Bascom Ave, San Jose, CA 95128. Dr. Benninghoven's primary practice is Saint Louise Regional Hospital in San Jose, California. Dmand AI also links Dr. Benninghoven to 1 hospital, 4 medical groups and 2 group practices and clinics.

What is Dr. Scott Wald Benninghoven's office phone number?

The practice phone on file for Dr. Benninghoven is (408) 885-5000.

What is Dr. Scott Wald Benninghoven's medical license number?

Dr. Benninghoven holds California license G55118.

Which hospitals is Dr. Scott Wald Benninghoven affiliated with?

Dr. Benninghoven is affiliated with Santa Clara Valley Medical Center. Dmand AI links Dr. Benninghoven to 1 more hospital.

What medical group is Dr. Scott Wald Benninghoven part of?

Dr. Benninghoven is linked to County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic. Dmand AI links Dr. Benninghoven to 4 more medical groups.

Does Dr. Scott Wald Benninghoven accept Medicare?

Yes. CMS data shows Dr. Benninghoven billed Medicare for 77 services in 2024, and Dr. Benninghoven accepts Medicare assignment.

What is Dr. Scott Wald Benninghoven's MIPS score?

Dr. Benninghoven's MIPS final score for performance year 2024 is 61 out of 100, reported as part of a group.

How many Medicare patients does Dr. Scott Wald Benninghoven see?

CMS counts 66 Medicare patients who saw Dr. Benninghoven in 2024, with an average age of 72.

Show 7 more questionsShow fewer questions

Is Dr. Scott Wald Benninghoven board certified?

Yes. Dr. Benninghoven is board certified in surgery by the American Board of Surgery.

What services does Dr. Scott Wald Benninghoven bill to Medicare?

In 2024, Dr. Benninghoven's most billed Medicare services were hospital inpatient care (99232) and hospital inpatient care (99222).

Where did Dr. Scott Wald Benninghoven go to medical school?

Dr. Benninghoven graduated from Keck School of Medicine of USC in 1984.

What drugs does Dr. Scott Wald Benninghoven prescribe most?

In 2023 Medicare Part D data, Dr. Benninghoven's most prescribed drugs by claims were Hydrocodone-Acetaminophen.

Has Dr. Scott Wald Benninghoven received payments from drug or device companies?

CMS Open Payments shows $3,085 in general payments to Dr. Benninghoven from 8 companies from 2016 to 2024. The largest total came from Intuitive Surgical, Inc.

How long has Dr. Scott Wald Benninghoven been practicing?

Dr. Benninghoven graduated from medical school in 1984, 42 years ago.

What insurance does Dr. Scott Wald Benninghoven accept?

Dr. Benninghoven is in network with 8 carriers, including Blue Cross Blue Shield of Michigan, Blue Cross Blue Shield of Massachusetts and HCSC. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

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