Scott Ward Benninghoven, MD
General Surgery · Hollister
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- 30
- 7 carriers
- Office
- 1
On the public record
- 1 Medical Board action on record
Offices
1 location · Hazel Hawkins Memorial Hospital · 52 clinicians in this group
Looking this up.
Plans that list them
30 plans · 7 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Benninghoven’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
30 of 30 plans
| Alignment Health Advantage PPO (PPO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health BreathEasy (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Clarity (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Harmony (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) | Alignment Health Plan | Listed | Sep 28, 2026 |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health My Choice CalCare (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health Silicon (HMO C-SNP) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health smartHMO (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Alignment Health the ONE (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| Astiva Health C-SNP WOW - NorCal (HMO C-SNP) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Premier Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Astiva Health Savings Plan - NorCal (HMO) | Astiva Health | Listed | Sep 27, 2026 |
| Blue Shield Inspire (HMO) | Blue Shield of California | Listed | Aug 26, 2026 |
| Central Health Classic Care Plan III (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | Listed, may be out of date | Sep 15, 2025 |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | Listed | Aug 15, 2026 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | Listed | Sep 1, 2026 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Classic (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN MyChoice (HMO) | SCAN Health Plan | Listed | Oct 3, 2026 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
California Medical Board record
Licence G55118 · Current
Licensed to practise in California · since 1985 · expires 2026-12-31 · University of Southern California Keck School of Medicine. Board flags: Public Reprimand.
Public record actions
| 2017-07-03 | Board disciplineDiscipline | Public letter of reprimand. · 8002016025407 |
Original Medicare doctor bills
$22,937
Medicare paid this office $22,937 for 66 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 34 | $3,903 | $71 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 22 | $2,575 | $117 |
Who their Medicare patients are
66 Original Medicare patients in 2024. Average age 72 · Women 47% · Also on Medicaid 47% · Health risk score 2.56. Above the middle of the specialty; the typical general surgery clinician is at 1.69.
Conditions among them: High blood pressure 75% · Diabetes 56% · Coronary heart disease 44% · Chronic kidney disease 42% · Heart failure 41% · Atrial fibrillation 36% · Cancer 29% · Depression 29% · COPD 24% · Dementia 18%.
The office billed $273,535, Medicare allowed $28,950 and paid $22,937; for 140 services of 36 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 66 | 140 | 72 | 2.56 | $273,535 | $22,937 |
| 2023 | 74 | 146 | 74 | 1.85 | $428,279 | $37,343 |
| 2022 | 84 | 191 | 75 | 2.46 | $431,035 | $37,874 |
| 2021 | 101 | 211 | 73 | 2.36 | $673,865 | $60,629 |
| 2020 | 102 | 232 | 74 | 1.81 | $444,195 | $48,355 |
| 2019 | 249 | 542 | 73 | 2.31 | $624,754 | $130,088 |
| 2018 | 195 | 416 | 75 | 2.53 | $495,595 | $86,570 |
| 2017 | 283 | 557 | 75 | 1.88 | $227,049 | $102,032 |
| 2016 | 219 | 560 | 74 | 2.11 | $240,039 | $109,907 |
| 2015 | 251 | 612 | 74 | 2.17 | $281,460 | $117,144 |
| 2014 | 297 | 811 | 73 | 1.90 | $347,579 | $137,903 |
| 2013 | 344 | 1,164 | 73 | 2.22 | $443,352 | $169,384 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 2 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 30 | $3,028 | $74 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 15 | $1,777 | $118 |
2022: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 28 | $3,566 | $69 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 12 | $1,584 | $132 |
| Short return visit (20+ min) | 13 | $1,246 | $96 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 12 | $1,127 | $94 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 14 | $966 | $39 |
2021: 5 services
| Removal of gallbladder using an endoscope | 11 | $6,460 | $587 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 26 | $2,792 | $73 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 19 | $2,573 | $135 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 16 | $1,795 | $100 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes | 13 | $797 | $38 |
2020: 5 services
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 23 | $3,372 | $75 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 23 | $3,181 | $138 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 13 | $1,953 | $103 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 11 | $1,101 | $100 |
| Short return visit (20+ min) | 14 | $826 | $49 |
2019: 5 services
| New patient visit (45+ min) | 113 | $15,350 | $136 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 63 | $10,825 | $172 |
| Removal of gallbladder using an endoscope | 17 | $8,939 | $526 |
| Return visit (30+ min) | 51 | $7,048 | $97 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 34 | $4,939 | $88 |
2018: 6 services
| New patient visit (45+ min) | 72 | $9,287 | $129 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 48 | $7,906 | $165 |
| Removal of gallbladder using an endoscope | 12 | $6,215 | $518 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 35 | $5,979 | $85 |
| Return visit (30+ min) | 32 | $3,367 | $89 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 14 | $1,583 | $113 |
2017: 10 services
| Critical care, first 30-74 minutes | 66 | $21,053 | $183 |
| New patient visit (45+ min) | 45 | $6,465 | $144 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 42 | $4,821 | $115 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 40 | $4,120 | $88 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 36 | $2,655 | $60 |
| Return visit (30+ min) | 22 | $2,597 | $96 |
| Emergency department visit with high level of medical decision making | 17 | $2,253 | $133 |
| Hospital discharge day management, more than 30 minutes | 18 | $1,646 | $91 |
| New patient visit (30+ min) | 17 | $1,539 | $91 |
| Short return visit (20+ min) | 21 | $1,530 | $59 |
2016: 9 services
| Critical care, first 30-74 minutes | 43 | $19,306 | $191 |
| New patient visit (45+ min) | 45 | $5,812 | $129 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 39 | $5,343 | $91 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 41 | $4,851 | $118 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 39 | $3,716 | $63 |
| Emergency department visit with high level of medical decision making | 14 | $2,037 | $146 |
| Short return visit (20+ min) | 22 | $1,983 | $57 |
| Return visit (30+ min) | 16 | $1,679 | $88 |
| Hospital discharge day management, more than 30 minutes | 15 | $1,430 | $95 |
2015: 9 services
| Critical care, first 30-74 minutes | 40 | $11,087 | $195 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 63 | $9,431 | $92 |
| New patient visit (45+ min) | 58 | $8,374 | $144 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 41 | $4,908 | $117 |
| Return visit (30+ min) | 19 | $2,762 | $92 |
| Short return visit (20+ min) | 28 | $2,737 | $65 |
| Hospital discharge day management, more than 30 minutes | 25 | $2,414 | $97 |
| Long return visit (40+ min) | 15 | $1,978 | $132 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 11 | $1,157 | $64 |
2014: 13 services
| New patient visit (45+ min) | 67 | $10,020 | $150 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 50 | $9,427 | $92 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 41 | $5,078 | $121 |
| Insertion of central venous tube with port (5 years or older) | 14 | $4,140 | $296 |
| Short return visit (20+ min) | 40 | $3,785 | $63 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 46 | $3,779 | $64 |
| Short return visit (20+ min) | 18 | $3,639 | $45 |
| Return visit (30+ min) | 34 | $3,556 | $96 |
| Removal of skin and tissue, 20.0 sq cm or less | 11 | $1,905 | $54 |
| Long return visit (40+ min) | 13 | $1,867 | $133 |
| Emergency department visit with moderate level of medical decision making | 18 | $1,811 | $101 |
| New patient visit (30+ min) | 12 | $1,203 | $100 |
| Return visit (30+ min) | 12 | $1,189 | $70 |
2013: 16 services
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 79 | $9,574 | $117 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 49 | $9,292 | $89 |
| New patient visit (45+ min) | 57 | $8,365 | $147 |
| Management of oxygen chamber therapy | 16 | $7,969 | $93 |
| Removal of gallbladder using an endoscope | 13 | $7,380 | $568 |
| Short return visit (20+ min) | 44 | $7,188 | $42 |
| Removal of skin and tissue, 20.0 sq cm or less | 33 | $6,884 | $52 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 39 | $3,183 | $62 |
| Short return visit (20+ min) | 35 | $2,767 | $64 |
| New patient visit (30+ min) | 26 | $2,278 | $88 |
| Return visit (30+ min) | 18 | $1,858 | $93 |
| Long return visit (40+ min) | 14 | $1,630 | $116 |
| Emergency department visit with moderate level of medical decision making | 15 | $1,470 | $98 |
| New patient visit (30+ min) | 16 | $1,068 | $67 |
| Return visit (30+ min) | 13 | $1,018 | $68 |
| Fluoroscopic guidance for insertion or removal of central vein access device | 11 | $192 | $16 |
Medicaid work
$473 in 2018
Medicaid paid $473 for 14 billed services this clinician did in 2018, up to 14 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| 1ST HOSP IP/OBS HIGH 75 | 14 | $473 |
| 2018 | 14 | 1 | 14 | $473 |
Money from drug and device companies
$16 in 2024
| 2024 | 1 | 1 | None | $16 |
| 2022 | 1 | 1 | None | $109 |
| 2020 | 1 | 1 | None | $120 |
| 2019 | 2 | 3 | None | $1,068 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Ethicon US | Megadyne | $16 | 1 payment
|
See the published payment
| Ethicon US | Meals · 2024-09-04 | Megadyne | $16 |
See earlier years (2022, 2020, 2019)
2022: $109
| Alnylam Pharmaceuticals | Onpattro | $109 | 1 payment
|
2020: $120
| Baxter Healthcare | Renal - Pd | $120 | 1 payment
|
2019: $1,068
| Intuitive Surgical | Da Vinci Surgical System | $1,047 | 2 payments
|
| Acell | None | $20 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 80.6 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1528189651
- Licence
- CA G55118California G55118: Current · expires 2026-12-31
- Trained
- University of Southern California Keck School of Medicine, 1984
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Medicaid ID
- CA 00G551180
- Taxonomy
- Surgery (208600000X)
- Mailing address
- 8833 Monterey Rd Ste F, Gilroy, CA, 95020
- NPI first listed
- 2007-04-03
- NPI last updated
- 2012-09-27
This is when the NPI record was last certified, not a medical board exam.