DONALD WALTER BENNETT OD MD
NPI 1013991165
Ophthalmology in Louisville, KY

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
1935 BLUEGRASS AVE, SUITE 200, LOUISVILLE, KY 40215(502) 895-0040(502) 361-4488 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donald Walter Bennett Od Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD WALTER BENNETT OD MD (NPI 1013991165) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Kentucky (23368) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1983).

NPPES Registry Identity

NPI1013991165
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDONALD WALTER BENNETTCredential: OD MD
Location Address1935 BLUEGRASS AVE, SUITE 200Louisville, KY 40215-1179
Mailing Address1935 Bluegrass Ave, Suite 200Louisville, KY 40215-1179 · (502) 895-0040 · Fax (502) 361-4488
Fax(502) 361-4488
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1983
Enumeration DateDecember 2, 2005
Last NPPES UpdateSeptember 23, 2013
✔ NPI 1013991165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 23368
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1935 BLUEGRASS AVE, Louisville, KY 40215

Other Identifiers 7

Medicare ID-Type Unspecified1454001KY
Medicare ID-Type Unspecified0249501KY
Medicare ID-Type Unspecified0365501KY
Medicare ID-Type Unspecified331420AIN
Medicare UPINC76151
Medicaid64233687KY
Medicaid200101170IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Walter Bennett Od Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860392008
PECOS Enrollment IDI20040818001284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Donald Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interventional Pain Medicine
5129 DIXIE HWY
Louisville, KY 40216
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Optometrist
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Social Worker (Clinical)
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215
Optometrist
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215
Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Counselor (Addiction (Substance Use Disorder))
1935 BLUEGRASS AVE
LOUISVILLE, KY 40215
Optometrist
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215
Ophthalmology
1935 BLUEGRASS AVE, SUITE 200
LOUISVILLE, KY 40215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Bennett's NPI number?

The NPI number for Donald Bennett is 1013991165. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Donald Bennett located?

Donald Bennett practices at 1935 Bluegrass Ave Suite 200, Louisville, KY 40215. The listed phone number is (502) 895-0040.

What is Donald Bennett's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Donald Bennett enrolled in Medicare?

Yes. Donald Bennett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Donald Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Bennett reassigns Medicare benefits to University Of Louisville Phyisicians, Inc. (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Bennett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Donald Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Bennett was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.