Dr. Thomas James Benda Jr., MD

  • Dubuque, IA
  • Otolaryngologist
NPI1003897554PAC ID4880634112
Medicare services, 2024
737
Medicare patients, 2024
377
Part D claims, 2024
1,284
Publications
2
MIPS score, 2024
98
Practice address
535 Cedar Cross Rd, Dubuque, IA 52003
Practice phone
Call (563) 588-0506
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Dubuque ENT Head & Neck Surgery

Dubuque, Iowa

See all 7 affiliations

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Dr. Thomas James Benda Jr. is an otolaryngologist in Dubuque, Iowa

Dr. Benda practices at Dubuque ENT Head & Neck Surgery in Dubuque, Iowa.

Dr. Benda's NPI, 1003897554, was assigned on November 10, 2005. Dr. Benda graduated from Carver College of Medicine in 1987. Dr. Benda holds Iowa license 29238.

NPI and contact details
Medicare PAC ID
4880634112
NPI enumeration date
November 10, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(563) 588-0506
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
65
Medical school graduation
1987

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

Dr. Thomas James Benda Jr. practices at Dubuque ENT Head & Neck Surgery in Dubuque, Iowa

Dr. Benda's primary practice is Dubuque ENT Head & Neck Surgery, at 535 Cedar Cross Rd, Dubuque, IA 52003 in Dubuque County. The practice phone is (563) 588-0506.

  • Dubuque ENT Head & Neck Surgery
    535 Cedar Cross Rd, Dubuque, IA 52003 · Dubuque CountyPhone(563) 588-0506

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

Dr. Thomas James Benda Jr. is affiliated with 5 sites of care and 2 medical groups

Dr. Benda's primary practice is Dubuque ENT Head & Neck Surgery in Dubuque, Iowa. Dr. Benda is also affiliated with UnityPoint Health - Finley Hospital. The medical group on file is Dubuque ENT Head & Neck Surgery. Dmand AI also links Dr. Benda to 2 more hospitals, 1 group practice or clinic and 1 medical group, each named with a free account.

See all 7 affiliations for Dr. Benda

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

Dmand AI tracks the EHR system at Dr. Thomas James Benda Jr.'s practice

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

EHR by site
SiteEHR vendor and product
Dubuque ENT Head & Neck SurgeryAvailable with a free account
+4 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Thomas James Benda Jr. is one of 105 otolaryngologists in Iowa

Otolaryngology is Dr. Benda's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Benda is board certified in fellow by the American Academy of Otolaryngic Allergy. Dmand AI has Dr. Benda's licenses on file in 3 states: Iowa, Wisconsin and Illinois.

Specialties and state licenses

  • Otolaryngology, IowaPrimaryLicense 29238 · 1993 to 2027 · taxonomy 207Y00000X
  • Wisconsin license1993 to 2025
  • Illinois license1988 to 1993

Clinical focus

Dmand AI lists acute sinusitis, chronic nasal allergies, chronic sinusitis, ear eustachian tube disorders, ear infection, endoscopic sinus surgery, hearing loss and impairment and larynx and vocal cord disease among the conditions Dr. Benda treats.

Otolaryngologists near Dr. Benda

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

105otolaryngologists in Iowa
5otolaryngologists in Dubuque

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

Dr. Thomas James Benda Jr. billed Medicare for 737 services in 2024

CMS data shows 737 Medicare services from Dr. Benda across 12 procedure codes in 2024, for 377 Medicare patients. Medicare paid $47,107 for them. Every service was in an office.

Medicare services, 2024737
Medicare patients377
Paid by Medicare$47,107
Procedure codes12

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

  • 2023
  • 2024
Office and hospital visits
2023: 4652024: 4562%
Surgery
2023: 2532024: 22312%
Tests and treatments
2023: 882024: 5834%

Dr. Benda compared with the Iowa median for otolaryngologists, 2024

  • Dr. Benda
  • Iowa median
Medicare services
737vs 60123% above
Medicare patients
377vs 31918% above
Part D claims
1,144vs 10411.0 times

Medians across 110 otolaryngologists in Iowa with Dmand AI profiles that report each measure.

Dr. Benda'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. Benda

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Benda and other otolaryngologists in Iowa.

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

Dr. Thomas James Benda Jr. treated 377 Medicare patients in 2024, average age 73

CMS counts 377 Medicare patients who saw Dr. Benda in 2024. The largest group is 65 to 74, with 175 patients. 72% of them have high cholesterol, and 66% have high blood pressure. 11% are also on Medicaid. Their average risk score is 1.12, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Benda's median patient age at 59, with 53% women.

Medicare patients, 2024377
Average age73
Average risk score1.12
Also on Medicaid11%

Dr. Benda's Medicare patients by age, 2024

Dr. Benda's Medicare patients by sex, 2024

  • Women19953%
  • Men17847%

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

  1. High cholesterol72%
  2. High blood pressure66%
  3. Arthritis42%
  4. Anxiety24%
  5. Mood disorders23%
  6. Diabetes22%
  7. Depression20%
  8. Ischemic heart disease19%

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

Dr. Benda's patients across all payers

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

Patient panel by age, all payers

Median age 59

Patient panel by sex, all payers

  • Women53%
  • Men47%

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

Dr. Thomas James Benda Jr. wrote 1,284 Medicare Part D claims in 2024

In 2024, Dr. Benda wrote 1,284 Medicare Part D claims for 343 patients. 94% of them were for generic drugs. CMS names the drug for 1,144 of them, across 27 drugs with 11 or more claims each, at $64,085 in total drug cost. In 2023, CMS named 1,202 claims across 24 drugs.

Part D claims, 20241,284
Drugs named by CMS27
Total drug cost$64,085
Part D patients343

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

  • Generic1,211 claims94%
  • Brand-name73 claims6%

Dr. Benda's most prescribed drugs by claims, 2024

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

Drug classes CMS tracks in Dr. Benda's Part D claims, 2024

  • Opioids2%25 of 1,284 claims
  • Antibiotics10%134 of 1,284 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,2022024: 1,1445%

Drugs named by CMS: 27 in 2024, 24 in 2023.

See all prescribing by Dr. Benda

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. Thomas James Benda Jr. scored 98 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 98 out of 100 for Dr. Benda for performance year 2024, reported individually. Dr. Benda accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 13 procedures of melanoma (skin cancer) excision by Dr. Benda, more than 67% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Benda's MIPS scores, performance year 2024

  • 98of 100Final score
  • 95of 100Quality
  • 40of 100Improvement Activities

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

Where Dr. Benda ranks in Medicare procedure volume

Skin biopsy
63rd percentile21 procedures
Removal of skin lesions
64th percentile18 procedures
Melanoma (skin cancer) excision
67th percentile13 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)

Upper gastrointestinal (GI) endoscopy for acid reflux: 1 to 10 procedures (CMS shows small counts as a range)

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

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Dr. Thomas James Benda Jr. has 2 publications on record

Dmand AI links 2 papers to Dr. Benda.

Papers2

Recent publications by Dr. Benda

See all 2 publications and co-authors

See who Dr. Benda researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Benda works with, so you can find a warm path to the right otolaryngologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Thomas James Benda Jr. received $1,413 in industry payments from 2016 to 2025

CMS Open Payments shows 70 general payments to Dr. Benda from 29 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Stryker Corporation paid the most, $159.

General payments to Dr. Benda by program year, 2016 to 2025

Companies that paid Dr. Benda the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Benda

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

Dr. Thomas James Benda Jr. has 5 awards and honors on record

Dmand AI lists 5 awards for Dr. Benda, most recently Fellow American Rhinological Society in 2014.

Awards and honors for Dr. Benda

  1. 2014
    • Fellow American Rhinological Society
  2. 2013
    • CMS Stage 1 EHR
  3. 1999
    • Fellow American Academy of Otolaryngic Allergy
  4. Undated
    • AAO-HNS Fellow
    • ACS Fellow

Dr. Benda's committees and leadership roles

Unity Point Finley Hospital DubuqueChief of Surgical Staff
2013 to 2016
Unity Point Finley Surgical Co-management LLCDirector
2011 to 2016
Dubuque County Medical SocietyPresident
2008 to 2009
Iowa Academy of OtolaryngologyPresident
2003 to 2005
Medicare Carrier Advisory Committe J5Otolaryngology representative
2001 to 2017

Source: Dmand AI Professional Profile Data

Dr. Thomas James Benda Jr. graduated from Carver College of Medicine

Dr. Benda graduated from Carver College of Medicine in 1987. Dr. Benda is a member of American Academy of Otolaryngic Allergy, NHS, ACS, AMA and American Rhinologic Society.

  1. Medical schoolCarver College of Medicine
  2. Board certified in fellowAmerican Academy of Otolaryngic Allergy
  3. Board certified in otolaryngologyAmerican Board of Otolaryngology - Head and Neck Surgery

Source: Dmand AI Professional Profile Data

Dr. Thomas James Benda Jr. accepts plans from 16 insurance carriers

Dr. Benda is in network with 16 carriers, including Blue Cross Blue Shield of Michigan, United Healthcare and Elevance. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

Plan types Dr. Benda accepts, by number of carriers

  1. PPO10
  2. HMO8
  3. Medicare6
  4. EPO3
  5. POS3
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Thomas James Benda Jr.'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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
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. Thomas James Benda Jr.

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. Thomas James Benda Jr.'s NPI number?

Dr. Thomas James Benda Jr.'s NPI number is 1003897554. It was assigned on November 10, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Thomas James Benda Jr.?

Dr. Thomas James Benda Jr. is an otolaryngologist in Dubuque, Iowa. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).

Where does Dr. Thomas James Benda Jr. practice?

Dr. Benda practices at 535 Cedar Cross Rd, Dubuque, IA 52003. Dr. Benda's primary practice is Dubuque ENT Head & Neck Surgery in Dubuque, Iowa. Dmand AI also links Dr. Benda to 2 hospitals, 1 group practice or clinic and 1 medical group.

What is Dr. Thomas James Benda Jr.'s office phone number?

The practice phone on file for Dr. Benda is (563) 588-0506.

What is Dr. Thomas James Benda Jr.'s medical license number?

Dr. Benda holds Iowa license 29238, one of the licenses on file in 3 states.

Which states has Dr. Thomas James Benda Jr. been licensed in?

Dmand AI has state licenses on file for Dr. Benda in Iowa (1993 to 2027), Wisconsin (1993 to 2025) and Illinois (1988 to 1993).

Which hospitals is Dr. Thomas James Benda Jr. affiliated with?

Dr. Benda is affiliated with UnityPoint Health - Finley Hospital. Dmand AI links Dr. Benda to 2 more hospitals.

What medical group is Dr. Thomas James Benda Jr. part of?

Dr. Benda is linked to Dubuque ENT Head & Neck Surgery. Dmand AI links Dr. Benda to 1 more medical group.

Does Dr. Thomas James Benda Jr. accept Medicare?

Yes. CMS data shows Dr. Benda billed Medicare for 737 services in 2024, and Dr. Benda accepts Medicare assignment.

What is Dr. Thomas James Benda Jr.'s MIPS score?

Dr. Benda's MIPS final score for performance year 2024 is 98 out of 100, reported individually.

Show 9 more questionsShow fewer questions

How many Medicare patients does Dr. Thomas James Benda Jr. see?

CMS counts 377 Medicare patients who saw Dr. Benda in 2024, with an average age of 73.

Is Dr. Thomas James Benda Jr. board certified?

Yes. Dr. Benda is board certified in fellow by the American Academy of Otolaryngic Allergy.

What services does Dr. Thomas James Benda Jr. bill to Medicare?

In 2024, Dr. Benda's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99212) and office visit, new patient (99203).

Where did Dr. Thomas James Benda Jr. go to medical school?

Dr. Benda graduated from Carver College of Medicine in 1987.

What drugs does Dr. Thomas James Benda Jr. prescribe most?

In 2024 Medicare Part D data, Dr. Benda's most prescribed drugs by claims were Fluticasone Propionate, Ipratropium Bromide and Omeprazole.

Has Dr. Thomas James Benda Jr. received payments from drug or device companies?

CMS Open Payments shows $1,413 in general payments to Dr. Benda from 29 companies from 2016 to 2025. The largest total came from Stryker Corporation.

How long has Dr. Thomas James Benda Jr. been practicing?

Dr. Benda graduated from medical school in 1987, 39 years ago.

Does Dr. Thomas James Benda Jr. do research?

Dmand AI links 2 publications to Dr. Benda.

What insurance does Dr. Thomas James Benda Jr. accept?

Dr. Benda is in network with 16 carriers, including Blue Cross Blue Shield of Michigan, United Healthcare and Elevance. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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