DR. GERARD MARK BENECKI (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1457542656
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
151 ORTHOPEDIC SURGERY in ME
Provider Addresses for DR. GERARD MARK BENECKI (M.D.)
200 KENNEDY MEMORIAL DR
WATERVILLE, ME 049014526
Phone: (207) 861-7862
Type: Location
2037 NE GUSTAF ST
POULSBO, WA 983707322
Phone: (224) 723-7774
Type: Mailing
17700 SE 272nd St Ste 105
Covington, WA 980424951
Phone: (253) 792-6555
Fax: (253) 372-7269
Type: Location
1400, East Kincaid Street, Mount Vernon, Skagit County, Washington, 98274, United States
ATTN: CREDENTIALING
MOUNT VERNON, WA 982744127
Phone: (360) 428-2500
Fax: (360) 428-6485
Type: Mailing
328, South Stillaguamish Avenue, Arlington, Snohomish County, Washington, 98223, United States
ARLINGTON, WA 982231660
Phone: (360) 425-6641
Fax: (360) 618-7663
Type: Location
5040 ADDISON CIR FL 4
ADDISON, TX 750013333
Phone: (214) 983-0302
Fax: (214) 983-0301
Type: Mailing
4600 ELDORADO PKWY STE 600
MCKINNEY, TX 750705762
Phone: (469) 796-0800
Fax: (469) 796-0801
Type: Location
121 N DIVISION ST STE 310
AUBURN, WA 980014931
Phone: (253) 792-6555
Fax: (253) 833-1071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $2,551.
Total Amount is formed as General ($2,551) + Research ($0) + Ownership ($0) = $2,551.
Last reported payment date: 2023-06-01 • Largest payer in this snapshot: TriMed, Inc. ($1,522).
Total Amount
$2,551
General + Research + Ownership
Payments
12
Total payment records
General Amount
$2,551
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriMed, Inc. | $1,522 |
| Medical Device Business Services, Inc. | $845 |
| DePuy Synthes Sales Inc. | $148 |
| Orthofix Medical, Inc. | $21 |
| Kowa Pharmaceuticals America, Inc. | $15 |
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: 2018-11-02
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 |
|---|---|---|---|---|
| I20181102001067 | I | Orthopedic Surgery | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 04901)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.