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MARY J BENSON MD
NPI 1306867106
Surgery in Pensacola, FL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1717 N E ST, STE 205, PENSACOLA, FL 32501(850) 434-1863(850) 432-9090 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary J Benson Md NPPES

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

MARY J BENSON MD (NPI 1306867106) is an individual surgery provider in Pensacola, Florida, licensed in Florida (ME58043) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Tulane University School Of Medicine (1985).

NPPES Registry Identity

NPI1306867106
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMARY J BENSONCredential: MD
Location Address1717 N E ST, STE 205Pensacola, FL 32501-6336
Mailing Address1717 N E St, Ste 205Pensacola, FL 32501-6336 · (850) 434-1863 · Fax (850) 432-9090
Phone(850) 434-1863
Fax(850) 432-9090
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1985
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1306867106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME58043
Definition
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.
1717 N E ST, Pensacola, FL 32501
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Other Identifiers 4

Medicaid064663600FL
Medicare UPINB65018FL
Medicare PIN11545FL
Other100003795FL · Rrb Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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

Mary J Benson Md 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 ID5991759037
PECOS Enrollment IDI20050310000819
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
24 services24 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32501 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost99.21

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
46%154 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
36%183 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
41%280 patients2/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%122 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
43%147 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%457 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%600 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%600 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
38%600 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%600 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

CHARLES E CHAPLEAU M D NEUROSURGERY PLLC
Neurological Surgery
1717 N E ST, STE 422
PENSACOLA, FL 32501
Escambia County (850) 444-7050
INTERVENTIONAL RADIOLOGY CONSULTANTS, LLC
Radiologic Technologist (Vascular-Interventional Technology)
1717 N E ST, SUITE 423
PENSACOLA, FL 32501
Escambia County (850) 432-6851
DR. SUSAN J GAVIN PHARMD
Pharmacist
1717 N E ST, SUITE 102
PENSACOLA, FL 32501
Escambia County (850) 434-4549
GERMAN HERRERA MD
Internal Medicine (Hematology & Oncology)
1717 N E ST, SUITE 231
PENSACOLA, FL 32501
Escambia County (850) 469-7975
THE NEUROSURGICAL GROUP SISCO & TIPPETT CHAPLEAU & FRANK
Neurological Surgery
1717 N E ST, SUITE 422
PENSACOLA, FL 32501
Escambia County (850) 444-7050
HEATHER SUZANNE STEINLE AU.D.
Audiologist
1717 N E ST, SUITE 239
PENSACOLA, FL 32501
Escambia County (850) 432-3467
LAYNE R. YONEHIRO MD
Surgery
1717 N E ST, SUITE 533
PENSACOLA, FL 32501
Escambia County (850) 429-0102
DR. JOHN DAVID NYE M.D.
Surgery
1717 N E ST, SUITE 300
PENSACOLA, FL 32501
Escambia County (850) 444-4741

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 Benson's NPI number?

The NPI number for Mary Benson is 1306867106. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Mary Benson located?

Mary Benson practices at 1717 N E St Ste 205, Pensacola, FL 32501. The listed phone number is (850) 434-1863.

What is Mary Benson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mary Benson enrolled in Medicare?

Yes. Mary 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 Mary Benson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Mary 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 Mary Benson affiliated with any hospitals?

According to CMS data, Mary Benson is affiliated with Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for Mary Benson was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.