MS. MANON K BENISTY (PA) – Physician Assistant, NPI 1124624242

MS. MANON K BENISTY (PA) is a healthcare provider. based in Canton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MS. MANON K BENISTY (PA) is 1124624242

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. MANON K BENISTY (PA)
NPI
1124624242
Phone
(330) 493-4443
Address
4535 DRESSLER RD NW
Enumeration Date
6 December 2020
Last Update Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
1052700572
Group Practice PAC ID
6507770070
Professional Enrollment ID
I20211122002075
Address ID
NY122081707AL315XXBLVD400

Contacts

Secure Messaging
payer.credentialing@sphp.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for MS. MANON K BENISTY (PA)

  • 4535 DRESSLER RD NW

    CANTON, OH 447182545

    Phone: (330) 493-4443

    Type: Location

  • 358 HAMILTON ST APT 2

    ALBANY, NY 122101710

    Phone: (862) 252-5480

    Type: Mailing

  • 1101 NOTT ST

    SCHENECTADY, NY 123082489

    Phone: (518) 243-4000

    Type: Location

  • 2215 Burdett Ave

    Troy, NY 121802466

    Phone: (518) 525-8600

    Fax: (518) 271-3440

    Type: Location

  • 315 S Manning Blvd

    Albany, NY 122081707

    Phone: (518) 525-8600

    Fax: (518) 525-6815

    Type: Location

  • 1101 Nott St

    Schenectady, NY 123082489

    Phone: (518) 243-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-11-22

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
I20211122002075IPhysician AssistantNYTBD

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
99285Emergency department visit with high level of medical decision making5655$0
99284Emergency department visit with moderate level of medical decision making4646$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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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: 6507770070View full group profile

Reviews

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Frequently asked questions

How is MS. MANON K BENISTY (PA) identified in CMS data?
CMS-hosted NPPES data lists MS. MANON K BENISTY (PA) with NPI 1124624242.
Is MS. MANON K BENISTY (PA) still practicing?
MS. MANON K BENISTY (PA) is currently listed as active in the public NPI registry.
What is MS. MANON K BENISTY (PA)'s primary classification?
Physician Assistant is the headline specialty for MS. MANON K BENISTY (PA) here. Clinical services aligned with this taxonomy classification.
Where should I expect MS. MANON K BENISTY (PA) on a map?
Expect Canton, Ohio as a primary anchor for MS. MANON K BENISTY (PA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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