DR. MARK BENJAMIN MD
NPI 1437737954
Hospitalist in Great Falls, MT

Q: What is Mark Benjamin's NPI number?

The NPI number for Mark Benjamin is 1437737954. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Mark Benjamin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Benjamin was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

1101 26TH ST S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2024, May 13, 2021, Apr 6, 2021 and 1 more (4 updates tracked since 2021).

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About Dr. Mark Benjamin Md NPPES

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

DR. MARK BENJAMIN MD (NPI 1437737954) is an individual hospitalist provider in Great Falls, Montana, licensed in Montana (141711) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1437737954

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. MARK BENJAMINCredential: MD

Location Address1101 26TH ST SGreat Falls, MT 59405-5161

Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8888

Phone(406) 731-8888

Fax(406) 731-8318

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateJune 5, 20244 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1437737954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MT · 141711

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1101 26TH ST S, Great Falls, MT 59405

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Secondary Practice Location 1

Location 122101 Moross RdDetroit, MI 48236-2148 · Phone (313) 343-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

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

Dr. Mark Benjamin 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 ID7214338011

PECOS Enrollment IDI20240711004494

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 Reassignments

Medicare enrollment records show Mark Benjamin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benefis Hospitals, Inc.

0.1 mi

General Acute Care Hospital

1101 26TH ST S
Great Falls, MT 59405

Reassigned Medicare billing, Montana enrollment
637 clinicians in this Medicare group

NPI 1881650737 (406) 455-5000

Big Sky Rpm LLC

1.4 mi

Internal Medicine

1911 4TH AVE N
Great Falls, MT 59401

Reassigned Medicare billing, Montana enrollment

NPI 1851228183 (406) 399-1464

Cogent Healthcare Of Montana P C

139 mi

Internal Medicine

2827 FORT MISSOULA RD
Missoula, MT 59804

Reassigned Medicare billing, Montana enrollment
155 clinicians in this Medicare group

NPI 1053569525 (406) 728-4100

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

163 services80 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

95 services37 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

94 services94 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

93 services51 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270012

Location1101 26th St SGreat Falls, MT 59405 · Cascade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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

$130.52 typical visit price

range $56.81 – $172.26

Typical copayment $32.63 (range $14.20 – $43.06)

Most-billed visit code 99204

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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 20

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

OMER USMAN MD

Hospitalist