MARIAN BENNER (MD) – Undersea and Hyperbaric Medicine (Emergency Medicine) Physician, NPI 1316018260

MARIAN BENNER (MD) is a healthcare provider. based in Bangor, Maine. specializing in UNDERSEA AND HYPERBARIC MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD16834 (ME). The NPI Number for MARIAN BENNER (MD) is 1316018260

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MARIAN BENNER (MD)
NPI
1316018260
Phone
(207) 907-1550
Address
360 BROADWAY
Enumeration Date
13 November 2006
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079073550
Graduation Year
1986 (40 years ago)
PAC ID
0143206086
Group Practice PAC ID
6406766336
Professional Enrollment ID
I20050503000490

Contacts

Secure Messaging
mbenner613754@direct-prd.goodhelpconnections.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4 UNDERSEA AND HYPERBARIC MEDICINE in ME

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Provider Addresses for MARIAN BENNER (MD)

  • Saint Joseph Hospital, 360, Broadway, Bangor, Penobscot County, Maine, 04402, United States

    BANGOR, ME 044013979

    Phone: (207) 907-1550

    Fax: (207) 907-3052

    Type: Location

  • C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT

    PO BOX 7291

    LEWISTON, ME 042437291

    Phone: (207) 777-8560

    Fax: (207) 777-8800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-05-03

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
I20050503000490IUndersea And Hyperbaric MedicineMETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes516122$0
99213Established patient office or other outpatient visit, 20-29 minutes328121$0
99203New patient office or other outpatient visit, 30-44 minutes6666$0
97597Removal of tissue from wound, 20.0 sq cm or less5028$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4640$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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Provider's Procedures

MARIAN BENNER (MD) performs procedures in UNDERSEA AND HYPERBARIC MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UNDERSEA AND HYPERBARIC MEDICINEME11042Removal of skin and tissue first 20 sq cm or less4533

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: 6406766336View full group profile
NameSpecialtyState
Orthopedic SurgeryNY
Internal MedicineME
Family PracticeME
G A S T R O E N T E R O L O G YME
Internal MedicineME
G A S T R O E N T E R O L O G YME
Physician AssistantME
Pulmonary Disease, Critical Care (Intensivists)ME
Orthopedic SurgeryNY
Certified Registered Nurse Anesthetist (Crna)ME

Reviews

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Frequently asked questions

Can I verify MARIAN BENNER (MD) with an NPI only?
You can start verification with NPI 1316018260 for MARIAN BENNER (MD), then check state licensing separately.
Does CMS list MARIAN BENNER (MD) as active?
Yes — MARIAN BENNER (MD) is active in the NPI listing used on this page.
What healthcare role does MARIAN BENNER (MD) hold?
Scheduling teams often label MARIAN BENNER (MD) under Undersea and Hyperbaric Medicine (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARIAN BENNER (MD)?
MARIAN BENNER (MD)'s geographic hint is Bangor, Maine in our summary view.
Why does MARIAN BENNER (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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