2026 NPPES data Physician Assistant NPI 1043251325 PA-C
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JOHN BENECK, PA-C

Physician Assistant in ELIZABETH CITY, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
106
Medicare Part D claims · 52 beneficiaries · Physician Assistant avg: 790
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1126/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: JOHN BENECK, PA-C is a Physician Assistant ([object Object]) practicing in ELIZABETH CITY, North Carolina with a Medicare Part D prescribing footprint of 106 claims across 52 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 95.1126/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOHN BENECK, PA-C reported a CMS MIPS final score of 95.1126 out of 100, above the 83.1 national average, and filed 106 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOHN BENECK, PA-C at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/09/2006

NPI 1043251325

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

106 87% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

95.1126/100 12.012600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Physician Assistant compares to other specialties among North Carolina providers

North Carolina providers

Physician Assistant share within North Carolina

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within North Carolina

Medicare quality performance — MIPS

JOHN BENECK, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

High performer (top quartile)
MIPS Final Score
95.1126/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 95.1126/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Physician Assistant) — 95.1126/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOHN BENECK, PA-C is a Physician Assistant provider practicing in ELIZABETH CITY, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1043251325. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN BENECK, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 1144 N ROAD ST STE 200, ELIZABETH CITY, NC, 27909, with a listed phone of (252) 384-2360. NPI 1043251325 was issued on 06/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENECK most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 106 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $7K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 52.8%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.1126/100 for the 2023 performance year (Quality 86.3184), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1144 N ROAD ST STE 200
ELIZABETH CITY, NC 27909

Provider Details

NPI 1043251325
Specialty Physician Assistant
Credentials PA-C
Gender Male
NPI Issued 06/09/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOHN BENECK, PA-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ALBEMARLE PHYSICIAN SERVICES - SENTARA INC
ELIZABETH CITY, NC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

JOHN BENECK, PA-C — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 106 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

106
Total Claims
$7K
Total Drug Cost
52
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
106
Total Day Supply
1,234
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$4K
Generic Drug Cost
$3K
Opioid Claims
56 (52.8% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.47
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Oxycodone Hcl
23
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
14
Hydromorphone Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physician Assistant Overview

How JOHN BENECK, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

JOHN BENECK, PA-C's 106 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as BENECK.

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN BENECK, PA-C's specialty?
JOHN BENECK, PA-C specializes in Physician Assistant and practices in ELIZABETH CITY, North Carolina. Credentials: PA-C.
How much does JOHN BENECK, PA-C prescribe under Medicare Part D?
In 2023, JOHN BENECK, PA-C wrote 106 Medicare Part D claims totaling $7K in drug costs for 52 beneficiaries.
What is JOHN BENECK, PA-C's Medicare quality score?
JOHN BENECK, PA-C has a CMS MIPS Final Score of 95.1126/100 (Quality: 86.3184). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN BENECK, PA-C located?
JOHN BENECK, PA-C is located at 1144 N ROAD ST STE 200, ELIZABETH CITY, NC, 27909. Phone: (252) 384-2360.
What is JOHN BENECK, PA-C's NPI number?
JOHN BENECK, PA-C's National Provider Identifier (NPI) is 1043251325, issued on 06/09/2006.
Does JOHN BENECK, PA-C prescribe more brand-name or generic drugs?
JOHN BENECK, PA-C's prescribing is 13% brand-name and 87% generic drugs by claim count, with $4K in brand drug costs.
Does JOHN BENECK, PA-C prescribe opioids?
Yes, JOHN BENECK, PA-C had 56 opioid claims in 2023 with an opioid prescribing rate of 52.8%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does JOHN BENECK, PA-C prescribe most often?
Based on 2023 Medicare Part D data, JOHN BENECK, PA-C's most frequently prescribed drugs include Oxycodone Hcl, Oxycodone-Acetaminophen, Hydromorphone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN BENECK, PA-C accept Medicare?
JOHN BENECK, PA-C appears in CMS Medicare data with 106 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN BENECK, PA-C's credentials?
JOHN BENECK, PA-C's NPI is 1043251325 with credentials PA-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology