Deactivated NPI 1013954205 Deactivated / Inactive NPI Female Practitioner

Dr. Mary Ann Benigno , DO

Surgery • Ridgewood, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mary Ann Benigno has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2006

NPI Deactivation Date May 28, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Mary Ann Benigno, DO was a registered Surgery practicing in Ridgewood, NJ. Throughout an active medical career spanning 20 years, Dr. Benigno provided care at the practice location at 145 PROSPECT STREET until profile deactivation on 2026-05-28.

Historical Medicare Part B clinical services included established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

145 Prospect Street

Ridgewood, NJ 07450

Telephone 2013683699

Fax 2013689633

Associated Practice Facility / Clinic

🏢 North Jersey Surgical Associates, Pa Facility NPI 1699704536

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ridgewood, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.7 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Ridgewood, NJ (815 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	90	88	$204.00	$99.36
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	42	42	$150.00	$68.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$301.90	$118.18
81003 Automated urinalysis test	19	19	$8.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$30.00	$16.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$300.00	$140.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	186	$205.55	$99.02
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	114	113	$100.00	$34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$302.00	$122.94
87804 Detection test by immunoassay with direct visual observation for influenza virus	72	36	$30.00	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$300.00	$132.58
81002 Urinalysis, manual test	30	30	$9.00	$3.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	28	28	$30.00	$16.20
87088 Bacterial urine culture	27	27	$34.00	$7.93
87086 Bacterial colony count, urine	27	27	$33.00	$7.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$458.00	$181.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$123.00	$62.55
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	23	23	$150.00	$33.95
87070 Bacterial culture	18	18	$36.00	$8.45
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	17	$13.00	$8.48
87077 Bacterial culture for aerobic isolates	17	17	$33.00	$7.92
71046 X-ray of chest, 2 views	11	11	$110.00	$37.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	202	193	$207.15	$100.55
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	145	144	$98.97	$40.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$283.93	$124.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	94	47	$29.95	$16.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	46	$302.65	$141.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	38	$134.31	$63.08
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	36	36	$200.00	$71.46
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	33	33	$50.00	$23.76
81002 Urinalysis, manual test	23	23	$9.00	$3.41
87088 Bacterial urine culture	20	20	$34.00	$7.93
87086 Bacterial colony count, urine	20	20	$33.00	$7.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$426.59	$183.79
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	17	$29.97	$16.22
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	13	13	$41.38	$41.22
71046 X-ray of chest, 2 views	13	13	$94.47	$38.34
87070 Bacterial culture	11	11	$36.00	$8.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	338	279	$212.67	$99.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$211.54	$122.20
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	96	92	$51.33	$45.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	70	$315.64	$141.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	63	$151.66	$62.04
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	54	52	$51.31	$51.31
81003 Automated urinalysis test	35	34	$6.25	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$316.66	$182.99
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$151.67	$80.46
71046 X-ray of chest, 2 views	20	20	$59.54	$38.09
69209 Removal of impacted ear wax by washing	12	11	$70.83	$23.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$212.15	$116.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	115	$315.81	$116.98
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	114	111	$51.33	$45.23
99213 Established patient office or other outpatient visit, typically 15 minutes	92	86	$211.66	$81.84
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$151.67	$83.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$316.66	$177.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	54	$151.66	$50.18
81003 Automated urinalysis test	25	25	$6.25	$2.14
36415 Insertion of needle into vein for collection of blood sample	22	20	$30.00	$3.00
71046 X-ray of chest, 2 views	12	12	$59.54	$36.34
69209 Removal of impacted ear wax by washing	11	11	$77.27	$20.58
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$29.73	$16.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	108	$124.83	$79.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	101	$200.67	$116.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$205.41	$116.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$288.42	$176.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	19	$29.94	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	15	$71.88	$18.20
73130 X-ray of hand, minimum of 3 views	16	14	$148.75	$37.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	140	$177.46	$111.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	180	180	$285.00	$170.32
99213 Established patient office or other outpatient visit, typically 15 minutes	91	75	$119.01	$75.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$205.00	$112.75
69210 Removal of impacted ear wax	25	20	$120.00	$51.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$85.00	$46.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	218	218	$205.00	$111.49
99213 Established patient office or other outpatient visit, typically 15 minutes	153	114	$110.00	$75.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	60	$172.39	$110.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$285.00	$169.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	18	$75.00	$27.37
69210 Removal of impacted ear wax	18	15	$120.00	$51.21

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MB05997100

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated May 28, 2026

Record deactivated on May 28, 2026

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 145 PROSPECT STREET, RIDGEWOOD, NJ 07450 (Tel: 2013683699)

📍

Updated Business Mailing Address July 08, 2007

Registered at 145 PROSPECT STREET, RIDGEWOOD, NJ 07450 (Tel: 2013683699)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARY ANN BENIGNO, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #25MB05997100 in NJ)

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Initial NPI Registration & Enumeration May 31, 2006

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: 1013954205

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2006

Last Update: July 08, 2007

Deactivation Date: May 28, 2026

Update or Correct Profile

Mailing Address

145 Prospect Street

Ridgewood, NJ 07450

Phone: 2013683699

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.