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Active NPI 1457560419 Individual Practitioner Female Practitioner

Tracy M Bennett , PA-C

Physician Assistant • Bangor, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tracy Bennett, PA-C is a certified Physician Assistant practicing in Bangor, ME. With approximately 19 years of clinical experience since completing medical education in 2007, Tracy Bennett delivers high-quality medical care to the local community at 360 BROADWAY.

Tracy Bennett is affiliated with St Joseph Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

360 Broadway

Bangor, ME 044013900

Telephone 2079073650
Fax 2079073660
Associated Practice Facility / Clinic
🏢 St. Joseph Hospital Facility NPI 1154321545

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bangor, ME

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +6.8 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
106 Specialists

Practicing in Bangor, ME (992 Statewide)

Telehealth Adoption Rate
8.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bennett (19 Years) 19 Yrs
Bangor Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
16 13 $168.81 $54.40

Medical Specialties & State Licenses

CMS Verified: 2022-02-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA1097

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

St Joseph Hospital

360 Broadway, Bangor, ME 044013979

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1033436233

Doctor of Medicine (M.D.)

Dr. Joanmarie Pellegrini , MD

Surgery - Trauma Surgery

NPI 1265402242

Doctor of Medicine (M.D.)

NPI 1497818868

Doctor of Osteopathic Medicine (D.O.)

NPI 1578509535

Doctor of Osteopathic Medicine (D.O.)

Amanda Young , PA-C

Physician Assistant

NPI 1609500016

Physician Assistant (Certified)

NPI 1801859913

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 29, 2019

Registered at 360 BROADWAY, BANGOR, ME 044013900 (Tel: 2079073650)

📍
Updated Business Mailing Address November 29, 2019

Registered at C/OST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 042437291 (Tel: 2077778560)

NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2015

Registered at 700 MOUNT HOPE AVE, SUITE 620, BANGOR, ME 044015691 (Tel: 2079471333)

📍
Updated Business Mailing Address October 21, 2015

Registered at 324 GANNETT DR, SUITE 200, SOUTH PORTLAND, ME 041063270 (Tel: 2074827800)

👤
Provider Name / Credentials Updated October 21, 2015

Recorded as TRACY BENNETT, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Physician Assistant (License #PA1097 in ME)

🟢
Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457560419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: February 03, 2022
Sole Proprietor: No

Mailing Address

C/ost Marys Health System - Provider Enrollment, Po Box 7291

Lewiston, ME 042437291

Phone: 2077778560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.