Active NPI
Edward M Bender, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD063707L
- Practice address
- 740 High St Ste 2001
Williamsport, PA 17701-3102 - Phone
- (570) 321-3165
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 114090 | MO | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD063707L | OR | Primary |
Addresses
Primary practice location
740 High St Ste 2001
Williamsport, PA 17701-3102
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Phone (570) 326-8723
Other practice location 1
2112 Silver Campine Ln
Cape Girardeau, MO 63701-1931
Phone (573) 837-8432
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00779909 | Other | MO | RR MCR |
| 036070837 | Medicaid | IL | |
| 373430 | Other | MO | HEALTHLINK |
| 604419 | Other | MO | BCBS |
| 036070837 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebender131375@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Wayne State University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 High St
Suite 2001
Williamsport, PA 17701-3102
Phone (570) 321-3165
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 85.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD063707L | OR | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Physician Services | Current | Accepting new patients | |
| Susquehanna Physician Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients |
Locations
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805
Interoperability endpoints
- ebender402187@direct.salemhealth.org
- edward.m.bender@upmcdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Susquehanna Health Medical Group
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Williamsport, PA
- NPI 1992724041
-
- Radiology Clinic/Center
- Mansfield, PA
- NPI 1073361564
-
dba Samaritan Cardiothoracic Surgery - Corvallis
- Cardiovascular Disease Physician
- Corvallis, OR
- NPI 1801148861
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Williamsport Hospital & Medical Center
- Land Ambulance
- Williamsport, PA
- NPI 1093890360
Hospital
-
dba Williamsport Regional Medical Center SPU- Divine Providence Campus
- Ambulatory Surgical Clinic/Center
- Williamsport, PA
- NPI 1225500770
Hospital
-
dba Williamsport Regional Medical Center
- General Acute Care Hospital
- Williamsport, PA
- NPI 1609801976
-
- Psychiatric Hospital Unit
- Williamsport, PA
- NPI 1649746488
-
- General Acute Care Hospital
- Williamsport, PA
- NPI 1740365097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769212800000",
"number": "1235241316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900",
"telephone_number": "570-326-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 HIGH ST STE 2001",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013102",
"telephone_number": "570-321-3165"
}
],
"practiceLocations": [
{
"address_1": "2112 Silver Campine Ln",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637011931",
"country_code": "US",
"telephone_number": "573-837-8432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENDER",
"first_name": "EDWARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2026-01-24",
"certification_date": "2026-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MO",
"license": "114090",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OR",
"license": "MD063707L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00779909",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036070837",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "373430",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "604419",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036070837",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebender131375@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3640 NW Samaritan Dr Ste 100B",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.