MRS. AMY BENEDICT (PA-C) – Physician Assistant, NPI 1760660633
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
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Provider Addresses for MRS. AMY BENEDICT (PA-C)
335, 120th Avenue, Holland Charter Township, Ottawa County, Michigan, 49424, United States
HOLLAND, MI 494242118
Phone: (616) 392-5222
Type: Mailing
4124 56TH ST SW STE 2
WYOMING, MI 494189494
Phone: (616) 224-0120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 253 Open Payments records for all available years, with a total value of $5,637.
Total Amount is formed as General ($5,637) + Research ($0) + Ownership ($0) = $5,637.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($937).
Total Amount
$5,637
General + Research + Ownership
Payments
253
Total payment records
General Amount
$5,637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $937 |
| Janssen Biotech, Inc. | $816 |
| ABBVIE INC. | $778 |
| GENZYME CORPORATION | $494 |
| Novartis Pharmaceuticals Corporation | $400 |
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: 2022-11-29
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 |
|---|---|---|---|---|
| I20221129001328 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 40 | 13 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 18 | 17 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 16 | 14 | $0 |
Insurance plans in this area (ZIP 49424)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | NY | |
| Physician Assistant | MD | |
| Nurse Practitioner | OH | |
| Physician Assistant | MI | |
| General Surgery | MD | |
| General Surgery | MI | |
| - | MI | |
| General Surgery | IN | |
| - | MI | |
| Nurse Practitioner | MI |
Reviews
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