DR. THOMAS W III BENDER (MD) – Dermatology Physician, NPI 1649266792

DR. THOMAS W III BENDER (MD) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME89393 (FL). The NPI Number for DR. THOMAS W III BENDER (MD) is 1649266792

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS W III BENDER (MD)
NPI
1649266792
Phone
(920) 663-9008
Address
801 YORK ST
Enumeration Date
23 September 2005
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2516313570
Graduation Year
1996 (30 years ago)
PAC ID
6507817202
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20080707000529
Address ID
AL366954614MO580XXEXXX500

Contacts

Secure Messaging
TB4116@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

207 DERMATOLOGY in AL

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Provider Addresses for DR. THOMAS W III BENDER (MD)

  • 801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Type: Mailing

  • Providence Park Drive, Pine Run, Mobile County Commission District 2, Mobile, Mobile County, Alabama, 36685, United States

    2ND FLOOR

    MOBILE, AL 366954614

    Phone: (251) 631-3570

    Fax: (251) 631-3572

    Type: Location

  • 8573 County Road 64

    Daphne, AL 365268706

    Phone: (251) 621-2244

    Fax: (251) 621-7209

    Type: Location

  • 2305 Hand Ave

    Bay Minette, AL 365074191

    Phone: (251) 631-3570

    Fax: (251) 631-3572

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 376 Open Payments records for all available years, with a total value of $55,996.

Total Amount is formed as General ($55,996) + Research ($0) + Ownership ($0) = $55,996.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($41,655).

Total Amount

$55,996

General + Research + Ownership

Payments

376

Total payment records

General Amount

$55,996

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-07-07

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
I20080707000529IDermatologyALTBD

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
17003Destruction of precancer skin growth, 2-14 growths5,764733$0
17000Destruction of precancer skin growth, 1 growth1,374814$0
99213Established patient office or other outpatient visit, 20-29 minutes1,327762$0
G6001Ultrasonic guidance for placement of radiation therapy fields61567$0
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area57866$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

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Provider's Procedures

DR. THOMAS W III BENDER (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYAL11101Biopsy of each additional growth of skin and/or tissue138113
DERMATOLOGYAL13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2120
DERMATOLOGYAL17003Destruction of 2-14 skin growths82941091

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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

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Frequently asked questions

What is the 10-digit NPI for DR. THOMAS W III BENDER (MD)?
DR. THOMAS W III BENDER (MD) — NPI 1649266792 — is the standard way to identify this listing.
Does CMS list DR. THOMAS W III BENDER (MD) as active?
Yes — DR. THOMAS W III BENDER (MD) is active in the NPI listing used on this page.
What is DR. THOMAS W III BENDER (MD)'s primary classification?
Dermatology Physician is the headline specialty for DR. THOMAS W III BENDER (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. THOMAS W III BENDER (MD) serve?
DR. THOMAS W III BENDER (MD)'s listing highlights Manitowoc, Wisconsin; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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