BRUCE BENNIN (M.D.) – Dermatology Physician, NPI 1902915507

BRUCE BENNIN (M.D.) is a healthcare provider. based in Northbrook, Illinois. specializing in DERMATOLOGY. They hold the professional credentials M.D.. The NPI Number for BRUCE BENNIN (M.D.) is 1902915507

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE BENNIN (M.D.)
NPI
1902915507
Phone
(847) 272-4433
Address
400 SKOKIE BLVD
Enumeration Date
29 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8472724433
Graduation Year
1971 (55 years ago)
PAC ID
9335134253
Group Practice PAC ID
2264427251
Professional Enrollment ID
I20100416000071
Address ID
IL600627930NO400XXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

703 DERMATOLOGY in IL

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Provider Addresses for BRUCE BENNIN (M.D.)

  • 400, Skokie Boulevard, Northbrook, Cook County, Illinois, 60062, United States

    SUITE 475

    NORTHBROOK, IL 600626930

    Phone: (847) 272-4433

    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 167 Open Payments records for all available years, with a total value of $5,761.

Total Amount is formed as General ($5,761) + Research ($0) + Ownership ($0) = $5,761.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($2,791).

Total Amount

$5,761

General + Research + Ownership

Payments

167

Total payment records

General Amount

$5,761

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-04-16

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
I20100416000071IDermatologyILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1,349817$0
99214Established patient office or other outpatient visit, 30-39 minutes1,111557$0
17003Destruction of precancer skin growth, 2-14 growths1,081202$0
88305Pathology examination of tissue using a microscope, intermediate complexity719434$0
17000Destruction of precancer skin growth, 1 growth466319$0
View full utilization report →

Insurance plans in this area (ZIP 60062)

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Provider's Procedures

BRUCE BENNIN (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIL11101Biopsy of each additional growth of skin and/or tissue141103
DERMATOLOGYIL17003Destruction of 2-14 skin growths2003359
DERMATOLOGYIL88304Pathology examination of tissue using a microscope, moderately low complexity1412

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: 2264427251View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
D E R M A T O L O G YID
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

Is there an official ID for BRUCE BENNIN (M.D.) in U.S. healthcare records?
The official identifier for BRUCE BENNIN (M.D.) is NPI 1902915507.
Active or inactive — what applies to BRUCE BENNIN (M.D.)?
You should see BRUCE BENNIN (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for BRUCE BENNIN (M.D.)?
At a glance, BRUCE BENNIN (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BRUCE BENNIN (M.D.)?
Directory geography for BRUCE BENNIN (M.D.) centers on Northbrook, Illinois.
When was this NPI issued?
Enumeration for BRUCE BENNIN (M.D.) is noted as August 29, 2006 where the registry provides it.

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