MARY ANN DIONNE BENTZ
NPI 1295720910
Dermatology in Waterford, CT

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
914 HARTFORD TPKE STE 103, WATERFORD, CT 06385(860) 442-1346(860) 444-6208 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Ann Dionne Bentz NPPES

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

MARY ANN DIONNE BENTZ (NPI 1295720910) is an individual dermatology provider in Waterford, Connecticut, licensed in Connecticut (035094) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Boston University School Of Medicine (1992).

NPPES Registry Identity

NPI1295720910
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMARY ANN DIONNE BENTZ
Location Address914 HARTFORD TPKE STE 103Waterford, CT 06385-4276
Mailing Address914 Hartford Tpke Ste 103Waterford, CT 06385-4276 · (860) 442-1346 · Fax (860) 444-6208
Fax(860) 444-6208
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1992
Enumeration DateSeptember 19, 2005
Last NPPES UpdateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
NPI 1295720910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CT · 035094
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
914 HARTFORD TPKE STE 103, Waterford, CT 06385

Other Identifiers 6

Other2495463United Health Care
OtherP380349Oxford
Medicaid4090841CT
Other030840Health Net
Medicaid001350941CT
Other010035094CT01Anthem Blue Shield

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

Mary Ann Dionne Bentz 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 ID6709932569
PECOS Enrollment IDI20090918000490
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
872 services647 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.
709 services454 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
310 services232 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
294 services119 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
199 services174 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
136 services100 patients

Hospital Affiliations CMS Care Compare

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06385 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Ann Bentz's NPI number?

The NPI number for Mary Ann Bentz is 1295720910. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Mary Ann Bentz located?

Mary Ann Bentz practices at 914 Hartford Tpke Ste 103, Waterford, CT 06385. The listed phone number is (860) 442-1346.

What is Mary Ann Bentz's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mary Ann Bentz enrolled in Medicare?

Yes. Mary Ann Bentz 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.

Is Mary Ann Bentz affiliated with any hospitals?

According to CMS data, Mary Ann Bentz is affiliated with Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Ann Bentz was last updated on December 5, 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.