MARK E. BENSON M.D.
NPI 1114950987
Internal Medicine - Gastroenterology in Madison, WI

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
600 HIGHLAND AVE., MADISON, WI 53792(608) 263-8094 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark E. Benson M.d. NPPES

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

MARK E. BENSON M.D. (NPI 1114950987) is an individual gastroenterology provider in Madison, Wisconsin, licensed in Wisconsin (51051) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Geisel School Of Medicine At Dartmouth (2002).

NPPES Registry Identity

NPI1114950987
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMARK E. BENSONCredential: M.D.
Location Address600 HIGHLAND AVE.Madison, WI 53792-3284
Mailing Address7974 Uw Health CourtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2002
Enumeration DateJuly 7, 2006
Last NPPES UpdateFebruary 1, 2021
NPPES CertifiedFebruary 1, 2021
NPI 1114950987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in WI · 51051
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

600 HIGHLAND AVE., Madison, WI 53792

Accepted Insurance

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

Mark E. Benson 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 ID8527080704
PECOS Enrollment IDI20090514000338
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
88 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
64 services56 patients
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237
This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.
41 services40 patients
Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238
An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.
36 services34 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
35 services35 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
34 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
600 HIGHLAND AVE.
MADISON, WI 53792
Neurological Surgery
600 HIGHLAND AVE.
MADISON, WI 53792
Dietitian, Registered
600 HIGHLAND AVE., MAIL CODE 1510
MADISON, WI 53792
Nurse Practitioner (Acute Care)
600 HIGHLAND AVE., BURN CENTER
MADISON, WI 53792
Nurse Practitioner
600 HIGHLAND AVE.
MADISON, WI 53792
Pediatrics (Pediatric Critical Care Medicine)
600 HIGHLAND AVE.
MADISON, WI 53792
Surgery (Surgical Oncology)
600 HIGHLAND AVE., MC7375, H4/710C
MADISON, WI 53792
Radiology (Diagnostic Radiology)
600 HIGHLAND AVE., ROOM H4/831-8320
MADISON, WI 53792

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 Mark Benson's NPI number?

The NPI number for Mark Benson is 1114950987. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mark Benson located?

Mark Benson practices at 600 Highland Ave., Madison, WI 53792. The listed phone number is (608) 263-8094.

What is Mark Benson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mark Benson enrolled in Medicare?

Yes. Mark Benson 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.

What insurance does Mark Benson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Mark Benson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Benson affiliated with any hospitals?

According to CMS data, Mark Benson is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Mark Benson was last updated on February 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.