Paula Sue Benes, M.D.
Physical Medicine & Rehabilitation Physician · Edwardsville, IL
Paula Sue Benes, M.D. is a physical medicine & rehabilitation physician with a practice address in Edwardsville, Illinois, and NPI 1346263647, issued on Jul 26, 2006. Check the license (Illinois 036.168593, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Paula Sue Benes
- Credential
- M.D.
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician 208100000X
- License numbers
- 036.168593 IL
2016016252 MO
Self-reported in NPPES; status is on the state search - Practice location
- 3402 Anderson Healthcare Dr, Edwardsville, IL 62025
- Phone
- (877) 749-7428
- Enumerated
- Jul 26, 2006
- Record last updated
- Oct 22, 2025
- Fax
- (512) 628-3314
- Medicaid IDs
- 1346263647 WI
200051119 IL
33344900 WI - Medicare enrollment
- Enrolled (PECOS I20240312002219); accepts Medicare assignment
- Medical or professional school
- Medical College Of Wisconsin, 1996
- Entity
- Type 1 · individual
8 nearest physical medicine & rehabilitation physician records → All 707 in Illinois → Look up another NPI →
Also registered at 3402 Anderson Healthcare Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Morgan Ekstrom, OTD, OTR/LOccupational Therapist1720658982
- Justin Gasper, D.O.Physical Medicine & Rehabilitation Physician1578848792
- Samantha RossOccupational Therapist1699530568
Verify Paula Sue Benes in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036.168593Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
90% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024
76 Medicare Part D claims, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D.
Most prescribed
- Baclofen14 claims
- Gabapentin14 claims
- Pantoprazole Sodium12 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): 71.6 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
- Post-Acute Physicians OF Illinois LLCMaryville, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Paula Sue Benes among 707 physical medicine & rehabilitation physician records in Illinois
Paula Sue Benes, M.D. is one of 707 physical medicine & rehabilitation physician records with a practice address in Illinois. 59% 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 6% of them.
- NPI issued2006 · 6% of these records are older, 67% newer
- In a Medicare fileYes · 59% of these records are
- In the CMS Doctors and Clinicians fileYes · 47% of these records are
- Graduated1996 · median 2008 among the 329 with a school on file
- Record last updated2025 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physical Medicine & Rehabilitation Physician providers in Illinois
There are 707 physical medicine & rehabilitation physician records in Illinois.
All 707 in Illinois → Every provider in Edwardsville → Physical Medicine & Rehabilitation Physician nationwide →
The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes
- Justin Gasper, D.O.Edwardsville, IL 620251578848792
- Tabitha Ganske, PTAGlen Carbon, IL 620341164023982
- Allison Fowler, OTR/LGodfrey, IL 620351871208918
- Marie Bernadette Mendoza, PT, DPTTuscola, IL 619531407521727
- Morgan Flex SiebertMahomet, IL 618531457069437
- Ivan Santiago, MDDanville, IL 618321275795841
- Latha Ravi, MDBelleville, IL 622201801801717
- Catherine SeamanBelleville, IL 622231851140776
Common questions
What is Paula Sue Benes, M.D.'s NPI number?
Paula Sue Benes, M.D.'s National Provider Identifier (NPI) is 1346263647, issued on Jul 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Paula Sue Benes, M.D. located?
The NPPES record lists a practice address at 3402 Anderson Healthcare Dr, Edwardsville, IL, 62025. Phone: (877) 749-7428. Providers update this record themselves, so call before visiting.
How can I verify Paula Sue Benes, M.D.'s license?
NPPES lists Illinois license number 036.168593, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Paula Sue Benes, M.D. prescribe under Medicare Part D?
In 2024, Paula Sue Benes, M.D. had 76 Medicare Part D claims; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.
What is Paula Sue Benes, M.D.'s MIPS final score?
The 2023 MIPS final score is 71.6 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.