BENJAMIN R. BAMFORD (MD) – Diagnostic Radiology Physician, NPI 1154411882
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
106 DIAGNOSTIC RADIOLOGY in VT
Provider Addresses for BENJAMIN R. BAMFORD (MD)
111 Colchester Ave
Burlington, VT 054011473
Phone: (802) 847-0000
Type: Location
115 Porter Dr
Middlebury, VT 057538629
Phone: (802) 388-4757
Type: Location
Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States
SOUTH PORTLAND, ME 041063266
Phone: (207) 482-7800
Type: Mailing
Eastern Maine Medical Center, 489, State Street, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044016616
Phone: (207) 973-8150
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: 2025-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190807001770 | I | Diagnostic Radiology | VT | TBD |
| I20250410000199 | I | Diagnostic Radiology | NY | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 308 | 308 | $0 |
| 77067 | Screening mammography | 308 | 308 | $0 |
| 71046 | X-ray of chest, 2 views | 262 | 245 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 216 | 216 | $0 |
| 73502 | X-ray of hip, 2-3 views | 158 | 134 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NY | |
| - | NY | |
| Family Practice | WA | |
| Diagnostic Radiology | VT | |
| Medical Oncology, Internal Medicine | NY | |
| Diagnostic Radiology | NY | |
| Internal Medicine, Family Practice | NY | |
| Diagnostic Radiology | VT | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NY | |
| Nurse Practitioner | NY |
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