Maryellen Versoza Benito, D.O

NPI 1639379126ActiveIndividual· Family Medicine· Southampton, NY

Family Medicine (D.O) in Southampton, New York, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 2010). In 2024 Medicare paid $57,781 for 162 patients, and Part D covered 407 of their prescriptions, 88% of them generic. Exact Sciences Corporation reported $61.17 in payments in 2025, mostly food and beverage.

Overview

NPI	1639379126
Status	Active
Entity type	Individual
Credential	D.O
Sole proprietor	No
NPI issued	Jul 23, 2007
Last updated in NPPES	Jul 16, 2023
Certified by provider	Jul 16, 2023

Specialties and licenses

Taxonomy	Code	License	State
Family Medicine Primary	207Q00000X	263180	NY

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Family Practice (NY)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	162
Services billed	641 across 27 procedure codes
Paid by Medicare	$57,781

Part D prescriptions in 2024

Prescriptions (claims)	407 · 905 30-day fills
Patients	88
Total drug cost	$44,016
Generic share	88% of claims

Medicare sources and data years

Education and affiliations

Medical school	New York College of Osteo Medicine of New York Institute of Technology
Graduation year	2010
Medicare specialty	Family Practice
Secondary specialties	Osteopathic Manipulative Medicine
Telehealth	Offers telehealth