NPI registry status
Active
2026 NPPES data Gynecology Physician NPI 1003895418 M.D.
Verify on CMS → Theresa Benecki, M.D.
Gynecology Physician in Brick, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,906 in Gynecology 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
1K
Medicare Part D claims · 574 beneficiaries · Gynecology Physician avg: 295
MIPS score
19.4/100
▼ 64 pts below national avg 83.1 · Below average
Industry payments
$206.61
11 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Theresa Benecki, M.D. reported a CMS MIPS final score of 19.4/100 - below the 83.1 national average - and filed 1,444 Medicare Part D claims in 2023.
- 19.4/100
- MIPS score · -64 vs avg
- 1K
- Part D claims, 2023
- 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.
Theresa Benecki, 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
19 2nd percentile higher than 2% of 477,587 scored providers
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 Theresa Benecki, M.D. sits
This provider among gynecology physician peers
Across the 551 gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Theresa Benecki, M.D. writes more Part D claims than 95% of them and scores higher on MIPS quality than 2% - 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
Each dot is one gynecology physician peer from a representative sample of 60; the gold marker is Theresa Benecki, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Theresa Benecki, 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 Theresa Benecki, M.D.?
Below national averagePrimary specialty
Gynecology Physician
Medicare Part D claims
1,444 389% vs specialty avg
MIPS final score
19.4/100 63.7 pts vs avg
Specialty distribution in New Jersey
How Gynecology Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Theresa Benecki, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician national average
- MIPS Final Score
- 19.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gynecology Physician) - 19.4/100 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).
Theresa Benecki, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 1608 HIGHWAY 88, Brick, NJ, 08724, with a listed phone of (732) 458-7878. NPI 1003895418 was issued on 01/13/2006.
Medicare Part D records for calendar year 2023 show 1,444 prescription claims written by this provider, covering 574 Medicare beneficiaries and totaling roughly $224K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 19.4/100 for the 2023 performance year (Quality 0, Cost 64.6), compared with the national average of 83.1.
Gynecology Physician is a narrow specialty nationwide, with 3,906 enrolled providers across 53 states and an average of 295 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
Provider Details
| NPI | 1003895418 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 01/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
19.3719
Final Score
Avg: 83.1
0
Quality
64.573
Cost
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 Theresa Benecki, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$207
Largest payer
Radius Health, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,444
Total Claims
$224K
Total Drug Cost
574
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,962
- Total Day Supply
- 78,100
- Generic Drug Cost
- $60K
- Antibiotic Claims
- 235
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 0.87
- Age Distribution
- <65: 23, 65-74: 286, 75-84: 213, 85+: 52
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Theresa Benecki, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Estradiol
Estradiol
186 claims
- Alendronate Sodium
Alendronate Sodium
168 claims
- Triamcinolone Acet…
Triamcinolone Acetonide
133 claims
- Terconazole
Terconazole
85 claims
- Prolia 64
Prolia
64 claims
- Amoxicillin 62
Amoxicillin
62 claims
- Clobetasol Propion… 59
Clobetasol Propionate
59 claims
- Valacyclovir 47
Valacyclovir
47 claims
| Drug | Claims |
|---|---|
| Estradiol | 186 |
| Alendronate Sodium | 168 |
| Triamcinolone Acetonide | 133 |
| Terconazole | 85 |
| Prolia Denosumab | 64 |
| Amoxicillin | 62 |
| Clobetasol Propionate | 59 |
| Valacyclovir Valacyclovir Hcl | 47 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 44 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 43 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gynecology Physician Overview
How Theresa Benecki, M.D. fits within the Gynecology Physician landscape nationally.
3,906
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider
Theresa Benecki, M.D.'s 1,444 claims are above the specialty average of 295.
Nearby Gynecology Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Benecki.
Dr. Lisa Abeshaus
M.D.
Summit, NJ
Dr. Richard Akawie
M.D.
East Brunswick, NJ
Dr. Joseph Alvaro
MD
Somerset, NJ
Dr. Jewel Naakarley Amui-Bellon
MD
Camden, NJ
Dr. Anthony Anzalone
M.D.
Clifton, NJ
Compare Gynecology 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gynecology 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.
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Frequently Asked Questions
What is Theresa Benecki, M.D.'s specialty? ▼
Theresa Benecki, M.D. specializes in Gynecology Physician and practices in Brick, New Jersey. Credentials: M.D..
How much does Theresa Benecki, M.D. prescribe under Medicare Part D? ▼
In 2023, Theresa Benecki, M.D. wrote 1,444 Medicare Part D claims totaling $224K in drug costs for 574 beneficiaries.
What is Theresa Benecki, M.D.'s Medicare quality score? ▼
Theresa Benecki, M.D. has a CMS MIPS Final Score of 19.4/100 (Quality: 0, Cost: 64.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Theresa Benecki, M.D. located? ▼
Theresa Benecki, M.D. is located at 1608 HIGHWAY 88, Brick, NJ, 08724. Phone: (732) 458-7878.
What is Theresa Benecki, M.D.'s NPI number? ▼
Theresa Benecki, M.D.'s National Provider Identifier (NPI) is 1003895418, issued on 01/13/2006.
How many Gynecology Physician providers are there in the US? ▼
There are 3,906 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does Theresa Benecki, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Theresa Benecki, M.D.'s most frequently prescribed drugs include Estradiol, Alendronate Sodium, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theresa Benecki, M.D. accept Medicare? ▼
Theresa Benecki, M.D. appears in CMS Medicare data with 1,444 Part D claims and 574 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theresa Benecki, M.D.'s credentials? ▼
Theresa Benecki, M.D.'s NPI is 1003895418 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.