MARK ANDREW BENEDICT (DO) – Anatomic Pathology & Clinical Pathology Physician, NPI 1497191860

MARK ANDREW BENEDICT (DO) is a healthcare provider. based in Logan, Utah. specializing in PATHOLOGY. They hold the professional credentials DO. They hold a License No. 10581549-1204 (UT). The NPI Number for MARK ANDREW BENEDICT (DO) is 1497191860

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MARK ANDREW BENEDICT (DO)
NPI
1497191860
Phone
Not provided
Address
1400 N 500 E
Enumeration Date
13 May 2013
Last Update Date
11 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012660055
Graduation Year
2013 (13 years ago)
PAC ID
1456684281
Group Practice PAC ID
1355251521
Professional Enrollment ID
I20190611002292
Address ID
UT843412455LO1400X500X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

159 PATHOLOGY in UT

Provider Addresses for MARK ANDREW BENEDICT (DO)

  • 1400 N 500 E

    LOGAN, UT 843412455

    Phone:

    Mailing address matches the actual address.

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: 2019-06-11

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
I20190611002292IPathologyUTTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,619754$0
88341Special stained specimen slides to examine tissue, each additional procedure11845$0
88342Special stained specimen slides to examine tissue, initial procedure108100$0
88307Pathology examination of tissue using a microscope, moderately high complexity5841$0
88304Pathology examination of tissue using a microscope, moderately low complexity3836$0
View full utilization report →

Insurance plans in this area (ZIP 84341)

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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: 1355251521View full group profile
NameSpecialtyState
P A T H O L O G YID
Hematology, PathologySC
-SC
P A T H O L O G YOR
-UT
P A T H O L O G YUT
P A T H O L O G YMI
P A T H O L O G YSC
P A T H O L O G YCA
P A T H O L O G YMN

Reviews

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Frequently asked questions

Does MARK ANDREW BENEDICT (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARK ANDREW BENEDICT (DO) uses 1497191860.
Is MARK ANDREW BENEDICT (DO) still practicing?
MARK ANDREW BENEDICT (DO) is currently listed as active in the public NPI registry.
What healthcare role does MARK ANDREW BENEDICT (DO) hold?
Scheduling teams often label MARK ANDREW BENEDICT (DO) under Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is MARK ANDREW BENEDICT (DO) based?
MARK ANDREW BENEDICT (DO) is tied to Logan, Utah in the data we show; additional addresses may exist on the full record.
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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