Jerry A. Benham, MD
Orthopaedic Surgery Physician · Waco, TX
Jerry A. Benham, MD is an orthopaedic surgery physician with a practice address in Waco, Texas, and NPI 1245290972, issued on Mar 25, 2006. Check the license (Texas H0173, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Jerry A. Benham
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License number
- H0173 TX
Self-reported in NPPES; status is on the state search - Practice location
- 7125 New Sanger Ave, Waco, TX 76712
- Phone
- (254) 752-9638
- Enumerated
- Mar 25, 2006
- Record last updated
- Jun 25, 2026
- Fax
- (254) 752-2201
- Medicaid ID
- 102133902 TX
- Medicare enrollment
- Enrolled (PECOS I20110302000731); accepts Medicare assignment
- Medical or professional school
- University Of Texas Medical School At San Antonio, 1985
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 1,514 in Texas → Look up another NPI →
Also registered at 7125 New Sanger Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Greg Palm, PASurgical Physician Assistant1588056782
- Gwendolen Phipps, RNRegistered Nurse1245162940
Verify Jerry A. Benham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license H0173Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
58% more Medicare Part D claims than the average orthopaedic surgery physician in 2024
547 Medicare Part D claims for 199 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 265 claims were for opioids.
Most prescribed
- Oxycodone Hcl179 claims
- Cephalexin53 claims
- Hydrocodone-Acetaminophen52 claims
- Cefadroxil48 claims
- Celecoxib36 claims
- Mupirocin26 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 74.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Providence Health AllianceWaco, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jerry A. Benham among 1,514 orthopaedic surgery physician records in Texas
Jerry A. Benham, MD is one of 1,514 orthopaedic surgery physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 18% of them.
- NPI issued2006 · 18% of these records are older, 46% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated1985 · median 2003 among the 1,016 with a school on file
- Record last updated2026 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Texas
There are 1,514 orthopaedic surgery physician records in Texas.
All 1,514 in Texas → Every provider in Waco → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- John Ackley, D.O.Waco, TX 767121811261985
- Edward Benton, MDWaco, TX 767121669610283
- Jeffrey Blasick, D.O.Woodway, TX 767121235417817
- James Bowden, M.D.Waco, TX 767121285601294
- Jon Ellis, M.D.Waco, TX 767121982600193
- Keith Ellison, M.D.Waco, TX 767121720247414
- Bradley Gilliam, M.D.Waco, TX 767121144463373
- Jon Goodnight, M.D.Waco, TX 767121770543480
Common questions
What is Jerry A. Benham, MD's NPI number?
Jerry A. Benham, MD's National Provider Identifier (NPI) is 1245290972, issued on Mar 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jerry A. Benham, MD located?
The NPPES record lists a practice address at 7125 New Sanger Ave, Waco, TX, 76712. Phone: (254) 752-9638. Providers update this record themselves, so call before visiting.
How can I verify Jerry A. Benham, MD's license?
NPPES lists Texas license number H0173, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jerry A. Benham, MD prescribe under Medicare Part D?
In 2024, Jerry A. Benham, MD had 547 Medicare Part D claims for 199 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Jerry A. Benham, MD's MIPS final score?
The 2023 MIPS final score is 74.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.