NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1003817156 M.D.
Verify on CMS → Marc Benton, M.D.
Pulmonary Disease Physician in Madison, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
702
Medicare Part D claims · 153 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
41%
generic claims · 59% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$153.51
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Marc Benton, M.D. filed 702 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in Madison, New Jersey, prescribing 41% generic.
- 702
- Part D claims, 2023
- 41%
- generic prescribing
- $153.51
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Marc Benton, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
702 Top 29% higher than 71% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Marc Benton, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Marc Benton, M.D.?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
702 52% vs specialty avg
Specialty distribution in New Jersey
How Pulmonary Disease Physician compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pulmonary Disease Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Marc Benton, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 300 MADISON AVE, Madison, NJ, 07940, with a listed phone of (973) 822-2772. NPI 1003817156 was issued on 08/10/2005.
Medicare Part D records for calendar year 2023 show 702 prescription claims written by this provider, covering 153 Medicare beneficiaries and totaling roughly $374K in drug spend, split 59% brand-name and 41% generic by claim count.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1003817156 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/10/2005 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Marc Benton, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$154
Largest payer
Inspire Medical Systems, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Brand-heavy
Marc Benton, M.D. - brand share 59.0%
Pulmonary Disease Physician average
59% brand-name claims vs 41% generic, on 702 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
702
Total Claims
$374K
Total Drug Cost
153
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,293
- Total Day Supply
- 38,378
- Brand vs Generic
- 59% brand / 41% generic
- Brand Drug Cost
- $358K
- Generic Drug Cost
- $16K
Patient Demographics
- Average Patient Age
- 75.1 years
- Avg HCC Risk Score
- 1.65
- Gender Split
- 41% female / 59% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Marc Benton, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
169 claims
- Breo Ellipta
Breo Ellipta
105 claims
- Montelukast Sodium 59
Montelukast Sodium
59 claims
- Albuterol Sulfate … 58
Albuterol Sulfate Hfa
58 claims
- Pramipexole Dihydr… 44
Pramipexole Dihydrochloride
44 claims
- Clonazepam 37
Clonazepam
37 claims
- Armodafinil 23
Armodafinil
23 claims
- Modafinil 22
Modafinil
22 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 169 |
| Breo Ellipta Fluticasone/Vilanterol | 105 |
| Montelukast Sodium | 59 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 58 |
| Pramipexole Dihydrochloride Pramipexole Di-Hcl | 44 |
| Clonazepam | 37 |
| Armodafinil | 23 |
| Modafinil | 22 |
| Symbicort Budesonide/Formoterol Fumarate | 22 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Marc Benton, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Marc Benton, M.D.'s 702 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Benton.
Dr. Vincent Acampora
DO
Cherry Hill, NJ
Dr. Pankaja Achar
MD
Newark, NJ
Dr. William Adams
D.O.
Atlantic City, NJ
Dr. Abhishek Agarwal
MD
Marlton, NJ
Dr. Vinod Aggarwal
MD FCCP
Holmdel, NJ
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Marc Benton, M.D.'s specialty? ▼
Marc Benton, M.D. specializes in Pulmonary Disease Physician and practices in Madison, New Jersey. Credentials: M.D..
How much does Marc Benton, M.D. prescribe under Medicare Part D? ▼
In 2023, Marc Benton, M.D. wrote 702 Medicare Part D claims totaling $374K in drug costs for 153 beneficiaries.
Where is Marc Benton, M.D. located? ▼
Marc Benton, M.D. is located at 300 MADISON AVE, Madison, NJ, 07940. Phone: (973) 822-2772.
What is Marc Benton, M.D.'s NPI number? ▼
Marc Benton, M.D.'s National Provider Identifier (NPI) is 1003817156, issued on 08/10/2005.
Does Marc Benton, M.D. prescribe more brand-name or generic drugs? ▼
Marc Benton, M.D.'s prescribing is 59% brand-name and 41% generic drugs by claim count, with $358K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Marc Benton, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Marc Benton, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Breo Ellipta, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marc Benton, M.D. accept Medicare? ▼
Marc Benton, M.D. appears in CMS Medicare data with 702 Part D claims and 153 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marc Benton, M.D.'s credentials? ▼
Marc Benton, M.D.'s NPI is 1003817156 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.