ELLIE MARIE BENTLEY (D.O.) – Surgery Physician, NPI 1093157315
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
984 GENERAL SURGERY in NJ
Provider Addresses for ELLIE MARIE BENTLEY (D.O.)
1 Medical Center Dr
Suite 162
Stratford, NJ 080841500
Phone: (856) 566-6708
Type: Location
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
220 S PARK AVE FL 3
HERRIN, IL 62948
Phone: (618) 942-2002
Fax: (618) 351-6497
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $213.
Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($213).
Total Amount
$213
General + Research + Ownership
Payments
4
Total payment records
General Amount
$213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $213 |
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: 2019-09-10
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 |
|---|---|---|---|---|
| I20190910000114 | I | General Surgery | IL | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 910 | 301 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 502 | 194 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 463 | 210 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 293 | 102 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 192 | 192 | $0 |
Insurance plans in this area (ZIP 08084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Peripheral Vascular Disease | FL | |
| Internal Medicine | IL | |
| Family Practice, Peripheral Vascular Disease | FL | |
| General Surgery | IL | |
| Peripheral Vascular Disease, Family Practice | MO | |
| Family Practice | IN | |
| Nurse Practitioner | IL | |
| Family Practice, Peripheral Vascular Disease | FL | |
| Family Practice, Peripheral Vascular Disease | IL | |
| Family Practice, Peripheral Vascular Disease | IL |
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