MR. DOUGLAS PORTER BENNETT (PA-C) – Surgical Physician Assistant, NPI 1427111491
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,167 PHYSICIAN ASSISTANT in ME
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Provider Addresses for MR. DOUGLAS PORTER BENNETT (PA-C)
16, Hospital Drive, York Village, York, York County, Maine, 03909, United States
YORK, ME 03909
Phone: (207) 363-3700
Type: Location
15, Hospital Drive, York Village, York, York County, Maine, 03909, United States
MEDICAL STAFF OFFICE
YORK, ME 039091011
Phone: (207) 351-2478
Fax: (207) 351-2153
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: ABBVIE INC. ($54).
Total Amount
$172
General + Research + Ownership
Payments
7
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $54 |
| Axonics, Inc. | $46 |
| GE HealthCare | $35 |
| PFIZER INC. | $21 |
| C. R. Bard, Inc. & Subsidiaries | $17 |
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: 2004-01-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040109000046 | I | Physician Assistant | ME | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 472 | 312 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 182 | 146 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 106 | 98 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 99 | $0 |
| 51705 | Simple change of bladder tube | 72 | 12 | $0 |
Insurance plans in this area (ZIP 03909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Nurse Practitioner | NH | |
| N E U R O L O G Y | ME | |
| Family Practice, Hospitalist | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| - | ME |
Reviews
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