2026 NPPES data Cardiovascular Disease Physician NPI 1588774061 MD
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MICHAEL BENCA, MD

Cardiovascular Disease Physician in SAN MARCOS, Texas. 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
2K
Medicare Part D claims · 494 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$223.46
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL BENCA, MD is a Cardiovascular Disease Physician ([object Object]) practicing in SAN MARCOS, Texas with a Medicare Part D prescribing footprint of 2K claims across 494 beneficiaries — 18% brand-name prescribing . Industry payments of $223.46 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL BENCA, MD filed 2,238 Medicare Part D claims in 2023 across SAN MARCOS, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL BENCA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MICHAEL BENCA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/30/2006

NPI 1588774061

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

2,238 26% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

Specialty distribution in Texas

How Cardiovascular Disease Physician compares to other specialties among Texas providers

Texas providers

Cardiovascular Disease Physician share within Texas

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Cardiovascular Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Cardiovascular Disease Physician ABMS/AOA estimate

Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Cardiovascular Disease Physician) — ABMS / AOA estimate

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).

MICHAEL BENCA, MD is a Cardiovascular Disease Physician provider practicing in SAN MARCOS, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1588774061. 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.

MICHAEL BENCA, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 1340 WONDER WORLD DR STE 4301, SAN MARCOS, TX, 78666, with a listed phone of (512) 353-6400. NPI 1588774061 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENCA 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 2,238 prescription claims written by this provider, covering 494 Medicare beneficiaries and totaling roughly $420K in drug spend, split 18% brand-name and 82% generic by claim count. 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.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666

Provider Details

NPI 1588774061
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 08/30/2006

Hospital and facility affiliations

Facilities where MICHAEL BENCA, MD 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.

CHRISTUS TRINITY CLINIC
SAN MARCOS, TX

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

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 MICHAEL BENCA, MD. Source: openpaymentsdata.cms.gov.

Total received

$223

Largest payer

Boston Scientific Corporation

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 MICHAEL BENCA, MD. To verify MICHAEL BENCA, MD'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 · Typical

MICHAEL BENCA, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 2,238 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.

2,238
Total Claims
$420K
Total Drug Cost
494
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,800
Total Day Supply
173,249
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$379K
Generic Drug Cost
$41K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.23
Gender Split
48% female / 52% male
Age Distribution
<65: 22, 65-74: 247, 75-84: 180, 85+: 45

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Eliquis
Apixaban
202
Metoprolol Succinate
174
Amlodipine Besylate
165
Atorvastatin Calcium
152
Rosuvastatin Calcium
112
Valsartan
112
Xarelto
Rivaroxaban
98
Losartan Potassium
89
Metoprolol Tartrate
89
Furosemide
87

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

Cardiovascular Disease Physician Overview

How MICHAEL BENCA, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

MICHAEL BENCA, MD's 2,238 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Texas

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL BENCA, MD's specialty?
MICHAEL BENCA, MD specializes in Cardiovascular Disease Physician and practices in SAN MARCOS, Texas. Credentials: MD.
How much does MICHAEL BENCA, MD prescribe under Medicare Part D?
In 2023, MICHAEL BENCA, MD wrote 2,238 Medicare Part D claims totaling $420K in drug costs for 494 beneficiaries.
Where is MICHAEL BENCA, MD located?
MICHAEL BENCA, MD is located at 1340 WONDER WORLD DR STE 4301, SAN MARCOS, TX, 78666. Phone: (512) 353-6400.
What is MICHAEL BENCA, MD's NPI number?
MICHAEL BENCA, MD's National Provider Identifier (NPI) is 1588774061, issued on 08/30/2006.
Does MICHAEL BENCA, MD prescribe more brand-name or generic drugs?
MICHAEL BENCA, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $379K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does MICHAEL BENCA, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL BENCA, MD's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL BENCA, MD accept Medicare?
MICHAEL BENCA, MD appears in CMS Medicare data with 2,238 Part D claims and 494 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL BENCA, MD's credentials?
MICHAEL BENCA, MD's NPI is 1588774061 with credentials MD. 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.
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