TODD BENDER (NP-C) – Nurse Practitioner, NPI 1013360767

TODD BENDER (NP-C) is a healthcare provider. based in Lilburn, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN202592 (GA). The NPI Number for TODD BENDER (NP-C) is 1013360767

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TODD BENDER (NP-C)
NPI
1013360767
Phone
(678) 978-2584
Address
5032 GREEN OAK DR SW
Enumeration Date
18 July 2016
Last Update Date
12 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709781331
Graduation Year
2016 (10 years ago)
PAC ID
7911257555
Group Practice PAC ID
4981693314
Professional Enrollment ID
I20180901000095
Address ID
GA300394614SN3020X124X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for TODD BENDER (NP-C)

  • 5032 GREEN OAK DR SW

    LILBURN, GA 300475529

    Phone: (678) 978-2584

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 207 Open Payments records for all available years, with a total value of $4,483.

Total Amount is formed as General ($4,483) + Research ($0) + Ownership ($0) = $4,483.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,001).

Total Amount

$4,483

General + Research + Ownership

Payments

207

Total payment records

General Amount

$4,483

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180901000095INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30047)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981693314View full group profile
NameSpecialtyState
Geriatric Medicine, Internal MedicinePA
-GA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Family PracticeSC
Family Practice, Geriatric MedicineGA

Reviews

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Frequently asked questions

How do I look up TODD BENDER (NP-C) by NPI?
Use NPI 1013360767 when you need to reference TODD BENDER (NP-C) in forms, claims, or directories.
Is TODD BENDER (NP-C) currently active in the NPI registry?
CMS-published data lists TODD BENDER (NP-C) as an active registrant.
What kind of provider is TODD BENDER (NP-C)?
The page reflects Nurse Practitioner for TODD BENDER (NP-C). Clinical services aligned with this taxonomy classification.
Where is TODD BENDER (NP-C)'s primary listing?
We display Lilburn, Georgia because that is what the record indicates for TODD BENDER (NP-C).
How can I contact TODD BENDER (NP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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