Mark Benning, PA

Individual provider Active NPI Physician Assistant · Sanford, NC

NPI 1972069243 · NPPES record last updated Jan 14, 2020

Key facts

NPI
1972069243
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
1135 Carthage St
Sanford, NC 27330-4162
Phone
(919) 774-2100
NPI assigned
Feb 12, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Emergency Physicians PA (269 clinicians)

Practice addresses (Care Compare)

10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300

1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 233-2300

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000

Hospital & facility affiliations

  • Wakemed, Cary Hospital Hospital · Cary, NC · CCN 340173

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100 (group)
Quality
75.66
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190620001108 NC Practitioner - Physician Assistant 4486988714 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Emergency Physicians PA Current
since May 1, 2023
Accepting new patients
Wake Emergency Physicians PA Current
since May 1, 2023
Accepting new patients

Locations

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: mbenning103377@capefearvalley.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

1135 Carthage St
Sanford, NC 27330-4162

Mailing address

1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2261

Other practice location 1

5700 E Highway 90
Sierra Vista, AZ 85635-9110
Phone (520) 263-2000

Other providers in Sanford, NC

All providers in Sanford, NC · Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.