MARK BENJAMIN DAVIDSON (M.D.) – Internal Medicine Physician, NPI 1417948522

MARK BENJAMIN DAVIDSON (M.D.) is a healthcare provider. based in Marlborough, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 218842 (MA). The NPI Number for MARK BENJAMIN DAVIDSON (M.D.) is 1417948522

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MARK BENJAMIN DAVIDSON (M.D.)
NPI
1417948522
Phone
(508) 485-0104
Address
320 BOLTON ST
Enumeration Date
31 October 2005
Last Update Date
2 January 2026

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5083341000
Graduation Year
1998 (28 years ago)
PAC ID
0840194692
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20031122000082
Address ID
MA016550002WO55XXXNXXX400
Telehealth
Yes

Contacts

Secure Messaging
mdavidson22499@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for MARK BENJAMIN DAVIDSON (M.D.)

  • 320, Bolton Street, Marlborough, Middlesex County, Massachusetts, 01752-3260, United States

    MARLBOROUGH, MA 017523988

    Phone: (508) 485-0104

    Fax: (508) 481-4727

    Type: Location

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 340 THOMPSON RD

    WEBSTER, MA 015701509

    Phone: (508) 943-0821

    Fax: (508) 943-5209

    Type: Location

  • 112 MAIN ST

    NORTHBOROUGH, MA 015321914

    Phone: (508) 393-9503

    Fax: (508) 393-9670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: PFIZER INC. ($31).

Total Amount

$55

General + Research + Ownership

Payments

2

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2003-11-22

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
I20031122000082IInternal MedicineMATBD

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 minutes176106$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit118118$0
99215Established patient office or other outpatient visit, 40-54 minutes4233$0
G0008Administration of influenza virus vaccine2121$0
90688Influenza vaccine, quadrivalent, 0.5 ml dosage2020$0
View full utilization report →

Insurance plans in this area (ZIP 01752)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)MA
A N E S T H E S I O L O G YNY
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
E N D O C R I N O L O G YMA

Reviews

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Frequently asked questions

What is the registry number for MARK BENJAMIN DAVIDSON (M.D.)?
The registry entry for MARK BENJAMIN DAVIDSON (M.D.) shows NPI 1417948522.
Is MARK BENJAMIN DAVIDSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MARK BENJAMIN DAVIDSON (M.D.) as active.
Which specialty label fits MARK BENJAMIN DAVIDSON (M.D.)?
NPPES ties MARK BENJAMIN DAVIDSON (M.D.) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARK BENJAMIN DAVIDSON (M.D.)?
The directory associates MARK BENJAMIN DAVIDSON (M.D.) with Marlborough, Massachusetts. Check all listed addresses for suites or satellite offices.
Why is information missing for MARK BENJAMIN DAVIDSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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