Benjamin Paul Warshauer , PA-C
Physician Assistant โข Biddeford, ME
1 Medical Center Dr
Biddeford, ME 040059422
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Benjamin Warshauer is listed in NPPES under Physician Assistant.
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NPI assigned on March 21, 2019; this date does not establish years in practice.
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Published CMS data list 362 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- G0316 โ Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th: 192 service units.
- 99223 โ Initial hospital care with moderate level of medical decision making: 78 service units.
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 52 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 53 Medicare Part D prescriptions, including refills, in 2020.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2020. Published rows only; this is not a quality measure.
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Published Part D records, 2020:
- Furosemide โ 21 prescription fills, including refills.
- Eliquis (Apixaban) โ 21 prescription fills, including refills.
- Potassium Chloride โ 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2020. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Biddeford, ME (2024, 24 clinicians with data). Median for this group: 145. Middle half: 90 to 280.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Maine (2024, 505 clinicians with data). Median for this group: 148. Middle half: 68 to 278.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 223 in 2020 to 362 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1 Medical Center Dr
Biddeford, ME 040059422
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Mainehealth. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2018
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
81 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $24,499 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $19,649 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
53 standardized 30-day fills in 2020
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$4,844 in 2020
The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2020.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Benjamin Warshauer has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Benjamin Warshauer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Biddeford and Maine
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Biddeford, ME (2024, 24 clinicians with data). Median for this group: 145. Middle half: 90 to 280.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Maine (2024, 505 clinicians with data). Median for this group: 148. Middle half: 68 to 278.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Biddeford, ME (2024, 24 clinicians with data). Median for this group: $12,499. Middle half: $5,824 to $26,656.
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Maine (2024, 505 clinicians with data). Median for this group: $10,709. Middle half: $4,761 to $20,532.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Biddeford, ME (2024, 24 clinicians with data). Median for this group: $9,749. Middle half: $4,041 to $19,822.
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Maine (2024, 505 clinicians with data). Median for this group: $7,751. Middle half: $3,502 to $14,514.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Benjamin Warshauer are from 2020.
41 active clinicians are listed under Physician Assistant with a practice address in Biddeford, ME (979 in Maine).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Biddeford
9.8% of these 41 clinicians have the CMS telehealth indicator.
80.5% of these 41 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 62% from 223 in 2020 to 362 in 2024.
- 2020: 223
- 2021: 365
- 2022: 278
- 2023: 309
- 2024: 362
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Medicare-allowed amount
Medicare-allowed amount increased 37% from $17,874 in 2020 to $24,499 in 2024.
- 2020: $17,874
- 2021: $29,302
- 2022: $30,875
- 2023: $22,078
- 2024: $24,499
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Paid by Medicare
Paid by Medicare increased 30% from $15,109 in 2020 to $19,649 in 2024.
- 2020: $15,109
- 2021: $26,927
- 2022: $25,351
- 2023: $17,693
- 2024: $19,649
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2020 only.
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30-day fills
CMS data for 30-day fills are available for 2020 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2020 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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G0316
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th
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192 | 65 | $76.52 | $26.10 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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78 | 72 | $415.91 | $148.70 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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52 | 32 | $230.02 | $101.76 |
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99497
Advance care planning, first 30 minutes
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40 | 32 | $237.88 | $64.93 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2020.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Furosemide | Furosemide | 21 | 335 | $110.87 | โ |
| Eliquis | Apixaban | 21 | 267 | $4,534.64 | โ |
| Potassium Chloride | Potassium Chloride | 11 | 323 | $198.52 | โ |
Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20190416002449
ME
4385985548
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Mainehealth
22 Bramhall St, Portland, ME 041023134
Phone: 2078859905
Mainehealth
1 Medical Ctr Dr, Biddeford, ME 040059422
Phone: 2072824270
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Hospitalist
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Hospitalist
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 22 BROWN ST, WESTBROOK, ME 040923502 (Tel: 6175719284)
NPI status registered as active in NPPES database
Registered at 1 MEDICAL CENTER DR, BIDDEFORD, ME 040059422 (Tel: 2072837937)
Registered at 37 LOON POINT LN, POLAND, ME 042746902 (Tel: 6175719284)
Recorded as BENJAMIN WARSHAUER, PA-C
Physician Assistant (license number reported to NPPES: ME PA1883)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Biddeford
- James Conley, PA
- Micaela Sulloway, PA-C
- Molly Mclean, PA
- Kimberly Caldwell, PA
- Beth Hart, PA-C
- Nikki Ploetz, PA-C
Mailing Address
22 Brown St
Westbrook, ME 040923502
Phone: 6175719284