2026 NPPES data Neurology Physician NPI 1013022979 M.D
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Marco Benitez, M.D

Neurology Physician in Lufkin, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,866 in Neurology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
10K
Medicare Part D claims · 660 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Industry payments
$643.75
35 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Marco Benitez, M.D reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 9,691 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
10K
Part D claims, 2023
95%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Marco Benitez, M.D's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Marco Benitez, M.D sits

This provider among neurology physician peers

Across the 5,437 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Marco Benitez, M.D writes more Part D claims than 99% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 57Marco Benitez, M.D-Part D claim volume, percentile in specialty: 99 · MIPS quality, percentile: 0
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Marco Benitez, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Marco Benitez, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Marco Benitez, M.D?

Below national average

NPI registry status

Active

Issued 08/20/2006

NPI 1013022979

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

9,691 vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

0/100 83.1 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Neurology Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Neurology Physician - 0.3%Neurology Physician0.3%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Marco Benitez, M.D's 2023 MIPS final score plotted against the Neurology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) - 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Neurology Physician) - 0/100 vs national avg 83.1
How MIPS and board certification work

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).

Marco Benitez, M.D appears in the CMS NPPES registry as a Neurology Physician provider holding M.D credentials at 3006 S 1ST ST STE B, Lufkin, TX, 75901, with a listed phone of (936) 639-2222. NPI 1013022979 was issued on 08/20/2006.

Medicare Part D records for calendar year 2023 show 9,691 prescription claims written by this provider, covering 660 Medicare beneficiaries and totaling roughly $806K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 42.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

3006 S 1ST ST STE B
Lufkin, TX 75901

Provider Details

NPI 1013022979
Specialty Neurology Physician
Credentials M.D
Gender Male
NPI Issued 08/20/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Marco Benitez, M.D. Source: openpaymentsdata.cms.gov.

Total received

$644

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Marco Benitez, M.D. To verify Marco Benitez, M.D's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Marco Benitez, M.D - brand share 5.0%
Neurology Physician average

5% brand-name claims vs 95% generic, on 9,691 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.

9,691
Total Claims
$806K
Total Drug Cost
660
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,552
Total Day Supply
310,325
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$481K
Generic Drug Cost
$324K
Opioid Claims
4,133 (42.6% rate)

Patient Demographics

Average Patient Age
67.3 years
Avg HCC Risk Score
1.98
Gender Split
60% female / 40% male
Age Distribution
<65: 231, 65-74: 245, 75-84: 141, 85+: 43

Top Prescribed Drugs (Medicare Part D)

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

What Marco Benitez, M.D prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
3,224
Gabapentin
773
Pregabalin
494
Tizanidine Hcl
388
Tramadol Hcl
307
Duloxetine Hcl
259
Acetaminophen-Codeine
Acetaminophen With Codeine
248
Memantine Hcl
245
Alprazolam
218
Cyclobenzaprine Hcl
147

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

Neurology Physician Overview

How Marco Benitez, M.D fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

Marco Benitez, M.D's 9,691 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Benitez.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Neurology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Marco Benitez, M.D's specialty?
Marco Benitez, M.D specializes in Neurology Physician and practices in Lufkin, Texas. Credentials: M.D.
How much does Marco Benitez, M.D prescribe under Medicare Part D?
In 2023, Marco Benitez, M.D wrote 9,691 Medicare Part D claims totaling $806K in drug costs for 660 beneficiaries.
What is Marco Benitez, M.D's Medicare quality score?
Marco Benitez, M.D has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Marco Benitez, M.D located?
Marco Benitez, M.D is located at 3006 S 1ST ST STE B, Lufkin, TX, 75901. Phone: (936) 639-2222.
What is Marco Benitez, M.D's NPI number?
Marco Benitez, M.D's National Provider Identifier (NPI) is 1013022979, issued on 08/20/2006.
Does Marco Benitez, M.D prescribe more brand-name or generic drugs?
Marco Benitez, M.D's prescribing is 5% brand-name and 95% generic drugs by claim count, with $481K in brand drug costs.
Does Marco Benitez, M.D prescribe opioids?
Yes, Marco Benitez, M.D had 4,133 opioid claims in 2023 with an opioid prescribing rate of 42.6%.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does Marco Benitez, M.D prescribe most often?
Based on 2023 Medicare Part D data, Marco Benitez, M.D's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marco Benitez, M.D accept Medicare?
Marco Benitez, M.D appears in CMS Medicare data with 9,691 Part D claims and 660 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marco Benitez, M.D's credentials?
Marco Benitez, M.D's NPI is 1013022979 with credentials M.D. 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.