DR. ERIKA M BENNS MD
NPI 1417018789
Internal Medicine in Largo, MD

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
48.87/100
CMS Quality Rating
1221 MERCANTILE LANE, LARGO, MD 20774(301) 618-5578(301) 618-5673 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Erika M Benns Md NPPES

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

DR. ERIKA M BENNS MD (NPI 1417018789) is an individual internal medicine provider in Largo, Maryland, licensed in Maryland (D60863) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and is a graduate of Hahnemann University College Of Medicine (2000).

NPPES Registry Identity

NPI1417018789
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ERIKA M BENNSCredential: MD
Location Address1221 MERCANTILE LANELargo, MD 20774-5374
Mailing Address2101 E Jefferson St Ppqa Medicare Compliance Unit 6 W, Kaiser Permanente Mid Atl Perm Med Grp Pc Attn T BrooksRockville, MD 20852-4908 · (301) 816-6660 · Fax (301) 816-6308
Fax(301) 618-5673
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 2000
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417018789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D60863
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1221 MERCANTILE LANE, Largo, MD 20774

Other Identifiers 2

Medicare ID-Type Unspecified014353K92
Medicare UPINI07499

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. Erika M Benns 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 ID1850379322
PECOS Enrollment IDI20070321000650
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 21

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 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.
359 services155 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
325 services146 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
257 services114 patients
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.
214 services129 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
70 services53 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
65 services64 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20774 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

48.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality24.35
Improvement Activities40
Cost30.44

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, variable height, hi-lo, without side rails, with mattress E0292
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$41.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$168.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Optometrist
1221 MERCANTILE LANE
LARGO, MD 20774
Otolaryngology
1221 MERCANTILE LANE
LARGO, MD 20774
Family Medicine (Adult Medicine)
1221 MERCANTILE LANE
LARGO, MD 20774
Internal Medicine
1221 MERCANTILE LANE
LARGO, MD 20774
Obstetrics & Gynecology
1221 MERCANTILE LANE
LARGO, MD 20774
Nurse Practitioner
1221 MERCANTILE LANE
LARGO, MD 20774
Audiologist
1221 MERCANTILE LANE
LANDOVER, MD 20774
Internal Medicine (Gastroenterology)
1221 MERCANTILE LANE
UPPER MARLBORO, MD 20774

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 Erika Benns's NPI number?

The NPI number for Erika Benns is 1417018789. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Erika Benns located?

Erika Benns practices at 1221 Mercantile Lane, Largo, MD 20774. The listed phone number is (301) 618-5578.

What is Erika Benns's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Erika Benns enrolled in Medicare?

Yes. Erika Benns 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 Erika Benns affiliated with any hospitals?

According to CMS data, Erika Benns is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Erika Benns was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.