Barry Carter's nice piece of work contains 50 stars within $\sim 74$ light years of Betelegeuse.
Leaving aside the question marks over exactly where Betelegeuse is (in terms of distance) and the parallax uncertainties of the 50 stars listed, there is also the problem that the faintest stars in the HYG catalogue are based on the Hipparcos catalogue, which is only complete to something like 8th magnitude, though it does contain some stars down to about 10th mag. If we assume that Betelgeuse is at around 700 light years (214 pc), then a magnitude of 10, corresponds to an absolute magnitude of about 3.3. These stars are very luminous indeed, about 3 times as luminous as the Sun or more, so either upper main sequence stars are giants.
Upper main sequence stars and giants form a tiny fraction of the local stellar population (and one presumes the locale around Betelgeuse since it is only 30 pc below the Galactic plane) - see for example this plot from Jeffries & Elliott (2003), which shows an absolute magnitude vs colour (HR) diagram for 1000 stars within $\sim 15$ pc of the Sun. As you can see, objects with $M_V<3.3$ are rare, perhaps $\sim 2$% of the population.

So the point of this is, that assuming Betelegeuse isn't sitting in a void, or in a cluster (which as far as we know, it isn't) then the stellar density around it is at least (and I say at least, because there is no way that the catalogue I used to produce the picture above is complete beyond spectral type M3-M4) is at least 0.07 stars per cubic parsec, or 0.002 stars per cubic light year.
If that is the case, then there should be at least 3400 stars within 74 light years of Betelgeuse and finally (the whole point of this "answer"), the nearest star to Betelgeuse is likely to be separated from it by $1/(0.002)^{1/3} = 7.9$ light years.
Unfortunately, it is an "answer" because we are no closer to knowing which star that is! Gaia DR2 (and DR3 later in 2020) would help in completing the census, since it has (or will have) parallaxes for stars down to about $V\sim 19$ (absolute magnitude of about 12.3 at the distance of Betelgeuse) and should then include about 60-70% of stars in its vicinity. However, Gaia will not (I think) yield an accurate parallax for Betelgeuse because it is too bright(!), so we will be no further forward in answering the question.