Dr. Marco A. Benitez, MD

  • Lufkin, TX
  • Neurologist
NPI1013022979PAC ID3678470036
Medicare services, 2024
2,089
Medicare patients, 2024
230
Part D claims, 2024
10,223
MIPS score, 2024
75
Hospital affiliations
3
Practice address
1201 West Frank Street, Lufkin, TX 75901
Practice phone
Call (936) 634-8111
Professional email
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Personal email
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Mobile number
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Social profiles

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Dr. Marco A. Benitez is a neurologist in Lufkin, Texas

Dr. Benitez practices at St. Luke's Health - Memorial Hospital - Lufkin, TX in Lufkin, Texas, part of CommonSpirit Health.

Dr. Benitez's NPI, 1013022979, was assigned on August 20, 2006. Dr. Benitez graduated from Universidad de Ciencias Medicas in 1995. Dr. Benitez holds Texas license L8616.

NPI and contact details
Medicare PAC ID
3678470036
NPI enumeration date
August 20, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(936) 634-8111
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
58
Medical school graduation
1995

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

Dr. Marco A. Benitez practices at St. Luke's Health - Memorial Hospital - Lufkin, TX in Lufkin, Texas

Dr. Benitez's primary practice is St. Luke's Health - Memorial Hospital - Lufkin, TX, at 1201 West Frank Street, Lufkin, TX 75901 in Angelina County. The practice phone is (936) 634-8111.

Source: Dmand AI Affiliation Data

Dr. Marco A. Benitez is affiliated with 4 sites of care

Dr. Benitez's primary practice is St. Luke's Health - Memorial Hospital - Lufkin, TX in Lufkin, Texas, part of CommonSpirit Health. Dr. Benitez is also affiliated with Woodland Heights Medical Center. Dmand AI also links Dr. Benitez to 1 more hospital and 1 physician office, each named with a free account.

See all 4 affiliations for Dr. Benitez

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Marco A. Benitez's practice

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

EHR by site
SiteEHR vendor and product
St. Luke's Health - Memorial Hospital - Lufkin, TXAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Marco A. Benitez is one of 1,226 neurologists in Texas

Neurology is Dr. Benitez's primary specialty in the NPI Registry, under taxonomy code 2084N0400X. Dmand AI has Dr. Benitez's licenses on file in 4 states: Texas, Florida, Montana and North Dakota.

Specialties and state licenses

  • Neurology, TexasPrimaryLicense L8616 · 2004 to 2026 · taxonomy 2084N0400X
  • Florida licenseLicense ME145526 · 2020 to 2026
  • Montana license2002 to 2005
  • North Dakota license2001 to 2005

Clinical focus

Dmand AI lists acute mini-stroke (TIA), alzheimer's disease, carpal tunnel syndrome, cerebrovascular disease, epilepsy, fibromyalgia and chronic pain, head injury and hereditary polyneuropathy among the conditions Dr. Benitez treats.

Neurologists near Dr. Benitez

Counts of neurologists 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. Marco A. Benitez billed Medicare for 2,089 services in 2024

CMS data shows 2,089 Medicare services from Dr. Benitez across 9 procedure codes in 2024, for 230 Medicare patients. Medicare paid $160,043 for them. Every service was in an office.

Medicare services, 20242,089
Medicare patients230
Paid by Medicare$160,043
Procedure codes9

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

  • 2023
  • 2024
Office and hospital visits
2023: 1,9432024: 1,65315%
Tests and treatments
2023: 7452024: 43641%

Dr. Benitez compared with the Texas median for neurologists, 2024

  • Dr. Benitez
  • Texas median
Medicare services
2,089vs 4594.6 times
Medicare patients
230vs 232Close to median
Part D claims
10,004vs 48020.8 times

Medians across 1,116 neurologists in Texas with Dmand AI profiles that report each measure.

Dr. Benitez'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. Benitez

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

Dr. Marco A. Benitez treated 230 Medicare patients in 2024, average age 69

CMS counts 230 Medicare patients who saw Dr. Benitez in 2024. The largest group is 65 to 74, with 72 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 34% are also on Medicaid. Their average risk score is 1.75, 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. Benitez's median patient age at 65, with 58% women.

Medicare patients, 2024230
Average age69
Average risk score1.75
Also on Medicaid34%

Dr. Benitez's Medicare patients by age, 2024

Dr. Benitez's Medicare patients by sex, 2024

  • Women14262%
  • Men8838%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis60%
  4. Anxiety46%
  5. Diabetes41%
  6. Mood disorders41%
  7. Depression37%
  8. Ischemic heart disease33%

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

Dr. Benitez's patients across all payers

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

Patient panel by age, all payers

Median age 65

Patient panel by sex, all payers

  • Women58%
  • Men41%

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

Dr. Marco A. Benitez wrote 10,223 Medicare Part D claims in 2024

In 2024, Dr. Benitez wrote 10,223 Medicare Part D claims for 695 patients. 96% of them were for generic drugs. CMS names the drug for 10,004 of them, across 90 drugs with 11 or more claims each, at $584,796 in total drug cost. In 2023, CMS named 9,480 claims across 96 drugs.

Part D claims, 202410,223
Drugs named by CMS90
Total drug cost$584,796
Part D patients695

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

  • Generic9,769 claims96%
  • Brand-name432 claims4%
  • Other22 claims0%

Dr. Benitez'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. Benitez's Part D claims, 2024

  • Opioids45%4,642 of 10,223 claims
  • Antipsychotics, patients 65 and over1%100 of 10,223 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: 9,4802024: 10,0046%

Drugs named by CMS: 90 in 2024, 96 in 2023.

See all prescribing by Dr. Benitez

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. Marco A. Benitez scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Benitez for performance year 2024, reported individually. Dr. Benitez accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes
MIPS final score, 2024
75 of 100

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. Marco A. Benitez received $9,555 in industry payments from 2016 to 2025

CMS Open Payments shows 679 general payments to Dr. Benitez from 47 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Teva Pharmaceuticals USA, Inc. paid the most, $1,527.

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

General payments to Dr. Benitez by kind, 2016 to 2025

$9.6Kin total
  • Food and beverage$9,517100%
  • Speaker and faculty fees$380%

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

Share is of all general payments to this clinician.

See all payments to Dr. Benitez

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

Dr. Marco A. Benitez graduated from Universidad de Ciencias Medicas

Dr. Benitez graduated from Universidad de Ciencias Medicas in 1995.

  1. Medical schoolUniversidad de Ciencias Medicas

Source: Dmand AI Professional Profile Data

Dr. Marco A. Benitez accepts plans from 19 insurance carriers

Dr. Benitez is in network with 19 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Elevance
  • HCSC
  • Alliant Health Plans
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • +11 more carriersWith a free account

Plan types Dr. Benitez accepts, by number of carriers

  1. PPO11
  2. HMO10
  3. Medicare7
  4. POS5
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Marco A. Benitez'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 phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy 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. Marco A. Benitez

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. Marco A. Benitez's NPI number?

Dr. Marco A. Benitez's NPI number is 1013022979. It was assigned on August 20, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Marco A. Benitez?

Dr. Marco A. Benitez is a neurologist in Lufkin, Texas. The primary specialty in the NPI Registry is Neurology Physician (taxonomy code 2084N0400X).

Where does Dr. Marco A. Benitez practice?

Dr. Benitez practices at 1201 West Frank Street, Lufkin, TX 75901. Dr. Benitez's primary practice is St. Luke's Health - Memorial Hospital - Lufkin, TX in Lufkin, Texas, part of CommonSpirit Health. Dmand AI also links Dr. Benitez to 1 hospital and 1 physician office.

What is Dr. Marco A. Benitez's office phone number?

The practice phone on file for Dr. Benitez is (936) 634-8111.

What is Dr. Marco A. Benitez's medical license number?

Dr. Benitez holds Texas license L8616, one of the licenses on file in 4 states.

Which states has Dr. Marco A. Benitez been licensed in?

Dmand AI has state licenses on file for Dr. Benitez in Texas (2004 to 2026), Florida (2020 to 2026), Montana (2002 to 2005) and North Dakota (2001 to 2005).

Which hospitals is Dr. Marco A. Benitez affiliated with?

Dr. Benitez practices at St. Luke's Health - Memorial Hospital - Lufkin, TX in Lufkin, Texas. Dr. Benitez is also affiliated with Woodland Heights Medical Center. Dmand AI links Dr. Benitez to 1 more hospital.

Does Dr. Marco A. Benitez accept Medicare?

Yes. CMS data shows Dr. Benitez billed Medicare for 2,089 services in 2024, and Dr. Benitez accepts Medicare assignment.

What is Dr. Marco A. Benitez's MIPS score?

Dr. Benitez's MIPS final score for performance year 2024 is 75 out of 100, reported individually.

How many Medicare patients does Dr. Marco A. Benitez see?

CMS counts 230 Medicare patients who saw Dr. Benitez in 2024, with an average age of 69.

Show 6 more questionsShow fewer questions

What services does Dr. Marco A. Benitez bill to Medicare?

In 2024, Dr. Benitez's most billed Medicare services were office visit, established patient (99214), nerve and brain test (95886) and nerve and brain test (95910).

Where did Dr. Marco A. Benitez go to medical school?

Dr. Benitez graduated from Universidad de Ciencias Medicas in 1995.

What drugs does Dr. Marco A. Benitez prescribe most?

In 2024 Medicare Part D data, Dr. Benitez's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Gabapentin and Pregabalin.

Has Dr. Marco A. Benitez received payments from drug or device companies?

CMS Open Payments shows $9,555 in general payments to Dr. Benitez from 47 companies from 2016 to 2025. The largest total came from Teva Pharmaceuticals USA, Inc.

How long has Dr. Marco A. Benitez been practicing?

Dr. Benitez graduated from medical school in 1995, 31 years ago.

What insurance does Dr. Marco A. Benitez accept?

Dr. Benitez is in network with 19 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

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