DR. MARY HOCTOR BELNIAK M.D.
NPI 1093151854
Obstetrics & Gynecology in Middletown, CT

Active since May 20, 2013PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
540 SAYBROOK RD STE 360, MIDDLETOWN, CT 06457(860) 347-7491 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2022, May 18, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Mary Hoctor Belniak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY HOCTOR BELNIAK M.D. (NPI 1093151854) is an individual obstetrics & gynecology provider in Middletown, Connecticut, licensed in Connecticut (072995) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2013).

NPPES Registry Identity

NPI1093151854
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARY HOCTOR BELNIAKCredential: M.D.
Location Address540 SAYBROOK RD STE 360Middletown, CT 06457-4745
Mailing Address540 Saybrook Rd Ste 360Middletown, CT 06457-4745 · (860) 347-7491
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2013
Enumeration DateMay 20, 2013
Last NPPES UpdateDecember 20, 20225 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
NPI 1093151854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in CT · 072995 Licensed in WA · 60776521
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
540 SAYBROOK RD STE 360, Middletown, CT 06457

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Hoctor Belniak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052631579
PECOS Enrollment IDI20221229001464
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
540 SAYBROOK RD STE 360
MIDDLETOWN, CT 06457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Belniak's NPI number?

The NPI number for Mary Belniak is 1093151854. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Mary Belniak located?

Mary Belniak practices at 540 Saybrook Rd Ste 360, Middletown, CT 06457. The listed phone number is (860) 347-7491.

What is Mary Belniak's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Belniak enrolled in Medicare?

Yes. Mary Belniak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Belniak was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.