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ANDREA BENTON M.D.
NPI 1316231624
Obstetrics & Gynecology in Mechanicsburg, PA

Active since June 03, 2011PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
2025 TECHNOLOGY PKWY STE 108, MECHANICSBURG, PA 17050(717) 988-8170(717) 221-5398 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrea Benton M.d. NPPES

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

ANDREA BENTON M.D. (NPI 1316231624) is an individual obstetrics & gynecology provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MT199888) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Newport.

NPPES Registry Identity

NPI1316231624
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDREA BENTONCredential: M.D.
Location Address2025 TECHNOLOGY PKWY STE 108Mechanicsburg, PA 17050-9401
Mailing Address2025 Technology Pkwy Ste 108Mechanicsburg, PA 17050-9401 · (717) 988-8170 · Fax (717) 221-5398
Phone(717) 988-8170
Fax(717) 221-5398
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2011
Enumeration DateJune 3, 2011
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1316231624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MT199888
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.
2025 TECHNOLOGY PKWY STE 108, Mechanicsburg, PA 17050
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Bretz Ct Ste 100Newport, PA 17074-8615 · Phone (717) 988-8170 · Fax (717) 221-5398

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Benton 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 ID2466764980
PECOS Enrollment IDI20150710002088
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Benton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Health Medical Services
Same address
Surgery
2025 TECHNOLOGY PKWY STE 212
Mechanicsburg, PA 17050
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1598439580 (717) 988-8185

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17050 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Other Providers at the Same Location NPPES 4

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

TIMOTHY DEIMLING M.D.
Obstetrics & Gynecology
2025 TECHNOLOGY PKWY STE 108
MECHANICSBURG, PA 17050
Cumberland County (717) 988-8170
GERALD J HARKINS MD
Obstetrics & Gynecology
2025 TECHNOLOGY PKWY STE 108
MECHANICSBURG, PA 17050
Cumberland County (717) 988-8170
PINNACLE HEALTH MEDICAL SERVICES
Obstetrics & Gynecology (Gynecology)
2025 TECHNOLOGY PKWY STE 108
MECHANICSBURG, PA 17050
Cumberland County (717) 988-8170
MICHAEL BONIDIE MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
2025 TECHNOLOGY PKWY STE 108
MECHANICSBURG, PA 17050
Cumberland County (717) 791-2590

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 Andrea Benton's NPI number?

The NPI number for Andrea Benton is 1316231624. It was assigned to this individual provider in the NPPES registry on June 3, 2011.

Where is Andrea Benton located?

Andrea Benton practices at 2025 Technology Pkwy Ste 108, Mechanicsburg, PA 17050. The listed phone number is (717) 988-8170.

What is Andrea Benton's specialty?

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

Is Andrea Benton enrolled in Medicare?

Yes. Andrea Benton 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.

Which organization bills Medicare for Andrea Benton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Benton reassigns Medicare benefits to Pinnacle Health Medical Services (Mechanicsburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Benton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrea Benton affiliated with any hospitals?

According to CMS data, Andrea Benton is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Andrea Benton was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.