DR. MARSHALL E. BENJAMIN M.D.
NPI 1033125372
Surgery in Glen Burnie, MD
NPI Status: Active since July 31, 2006
Contact Information
301 HOSPITAL DR
GLEN BURNIE, MD
ZIP 21061
Phone: (410) 553-8300
Fax: (410) 553-8349
- Individual
- Male
- Years of Experience 39
- Surgery
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MARSHALL BENJAMIN
This page provides the complete NPI Profile along with additional information for Marshall Benjamin, a provider established in Glen Burnie, Maryland with a medical specialization in Surgery and more than 39 years of experience. He graduated from Rutgers New Jersey Medical School in 1987. The healthcare provider is registered in the NPI registry with number 1033125372 assigned on July 2006. The practitioner's primary taxonomy code is 208600000X with license number D0050688 (MD). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1033125372
- Provider Name
- DR. MARSHALL E. BENJAMIN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 301 HOSPITAL DR GLEN BURNIE, MD 21061
- Location Phone
- (410) 553-8300
- Location Fax
- (410) 553-8349
- Mailing Address
- 300 HOSPITAL DR STE 132 GLEN BURNIE, MD 21061
- Mailing Phone
- (410) 787-4594
- Mailing Fax
- (410) 553-8349
- Medical School Name
- RUTGERS NEW JERSEY MEDICAL SCHOOL
- Graduation Year
- 1987
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-31-2006
- Last Update Date
- 11-15-2016
- Code Navigator
A surgeon like Marshall Benjamin treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0050688
- License State
- MD
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 340305 | OTHER (01) | MD | MDIPA |
| 1700756 | OTHER (01) | MD | UNITED HLTHCARE |
| 0016 | OTHER (01) | MD | CAREFIRST |
| 214349 | OTHER (01) | MD | KAISER |
| 770001404 | MEDICARE ID-TYPE UNSPECIFIED (04) | MD | RAILROAD |
| 013756100 | MEDICAID (05) | MD | |
| 112716 | OTHER (01) | MD | US HLTHCARE |
| 1727681 | OTHER (01) | MD | UNITED HLTHCARE NATIONAL |
| 65473 | OTHER (01) | MD | GEISINGER |
| F94700 | MEDICARE UPIN (02) | MD | |
| 54350203 | OTHER (01) | MD | BLUE SHIELD |
| 0000871201 | MEDICAID (05) | DE | |
| 282S | MEDICARE PIN (08) | MD |
Medicare Participation & PECOS Enrollment Status
Marshall Benjamin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Marshall Benjamin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2365625423
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110328000076
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Complete ultrasound of abdomen and pelvis artery and vein blood flow
Complete ultrasound of abdomen and pelvis artery and vein blood flow
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access
Complete ultrasound study of arm and leg arteries
Complete ultrasound study of arm and leg arteries
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Established patient office or other outpatient visit, 40-54 minutes
Leg revascularization (restoring blood flow)
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Ultrasound of abdomen and pelvis artery and vein blood flow
Ultrasound of both sides of head and neck blood flow
Ultrasound of both sides of head and neck blood flow
Ultrasound of hemodialysis access
Ultrasound of hemodialysis access
Ultrasound of leg arteries or artery grafts
Ultrasound of leg arteries or artery grafts
Ultrasound of one arm arteries or artery grafts
Ultrasound of one arm arteries or artery grafts
Ultrasound of one leg arteries or artery grafts
Ultrasound of one leg arteries or artery grafts
Ultrasound study of arm and leg arteries
Ultrasound study of arm and leg arteries
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
Ultrasound study of one arm or leg veins with compression and maneuvers
This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.
This service was performed 390 times for 317 patientsThis procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.
This service was performed 36 times for 25 patientsThis procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
This service was performed 520 times for 401 patientsThis procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
This service was performed 99 times for 72 patientsThis procedure involves using ultrasound technology to examine the blood flow in your arteries and veins on both sides of your body. It's crucial for preparing for hemodialysis access, ensuring safe and effective treatment.
This service was performed 23 times for 22 patientsThis procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
This service was performed 304 times for 283 patientsThis procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
This service was performed 107 times for 68 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 29 times for 26 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 80 times for 67 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 22 times for 21 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 15 times for 15 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 36 times for 34 patientsLeg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
This service was performed for 1-10 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 16 times for 16 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 35 times for 35 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 21 times for 21 patientsAn ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.
This service was performed 32 times for 32 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 1,522 times for 1,297 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 378 times for 253 patientsAn ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.
This service was performed 188 times for 128 patientsAn ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.
This service was performed 18 times for 13 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
This service was performed 72 times for 52 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
This service was performed 27 times for 16 patientsAn ultrasound of arm arteries or artery grafts is a non-invasive imaging test. It uses sound waves to create pictures of the arteries in your arm or of an artery graft. This helps to check blood flow and identify any blockages or abnormalities. It's painless and safe.
This service was performed 420 times for 388 patientsAn ultrasound of arm arteries or artery grafts is a non-invasive imaging test. It uses sound waves to create pictures of the arteries in your arm or of an artery graft. This helps to check blood flow and identify any blockages or abnormalities. It's painless and safe.
This service was performed 45 times for 45 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
This service was performed 210 times for 123 patientsAn ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
This service was performed 62 times for 37 patientsAn ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
This service was performed 1,446 times for 1,038 patientsAn ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
This service was performed 279 times for 173 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 643 times for 592 patientsAn ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
This service was performed 83 times for 57 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 166 times for 157 patientsThis is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
This service was performed 135 times for 80 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.52 for a new patient copayment and $18.86 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21061 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.08
- Minimum New Patient Price $60.73
- Maximum New Patient Price $183.44
- Average New Patient Copayment $23.52
- Minimum New Patient Copayment $15.18
- Maximum New Patient Copayment $45.86
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.47
- Minimum Established Patient Price $19.6
- Maximum Established Patient Price $149.17
- Average Established Patient Copayment $18.86
- Minimum Established Patient Copayment $4.9
- Maximum Established Patient Copayment $37.29
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Marshall Benjamin is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| UNIVERSITY OF MARYLAND MEDICAL CENTER | 22 SOUTH GREENE STREET BALTIMORE, MD 21201 | (410) 328-8667 | Acute Care Hospitals | |
| LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC | 2001 MEDICAL PARKWAY ANNAPOLIS, MD 21401 | (443) 481-1000 | Acute Care Hospitals | |
| UNIVERSITY OF MD SHORE MEDICAL CTR AT CHESTERTOWN | 100 BROWN STREET CHESTERTOWN, MD 21620 | (410) 778-7668 | Acute Care Hospitals | |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON | 219 SOUTH WASHINGTON STREET EASTON, MD 21601 | (410) 822-1000 | Acute Care Hospitals | |
| UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER | 301 HOSPITAL DRIVE GLEN BURNIE, MD 21061 | (410) 595-1967 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033125372, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
GLEN BURNIE, MD 21061
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033125372, enumerated as an "individual" on July 31, 2006.
The provider is located at 301 HOSPITAL DR GLEN BURNIE, MD 21061 and the phone number is (410) 553-8300.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Medicare, Medicaid, Kaiser Health and Blue Cross. Please consult your insurance carrier or call the provider to verify.
Marshall Benjamin is affiliated with: UNIVERSITY OF MARYLAND MEDICAL CENTER, LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC, UNIVERSITY OF MD SHORE MEDICAL CTR AT CHESTERTOWN, UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON and UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER.
