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CHARLES HENRY BENTLAGE MD
NPI 1033436902
Family Medicine in Neosho, MO

Active since April 30, 2010PECOS Enrolled
4301 DONIPHAN DR, NEOSHO, MO 64850(417) 451-9450 Get Directions Write a Review

NPPES record last updated: April 30, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles Henry Bentlage Md NPPES

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

CHARLES HENRY BENTLAGE MD (NPI 1033436902) is an individual family medicine provider in Neosho, Missouri, licensed in Missouri (27302) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033436902
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES HENRY BENTLAGECredential: MD
Location Address4301 DONIPHAN DRNeosho, MO 64850-9120
Mailing Address4301 Doniphan DrNeosho, MO 64850-9120 · (417) 451-9450
Phone(417) 451-9450
Sole ProprietorNo
Enumeration DateApril 30, 2010
✔ NPI 1033436902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 27302
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4301 DONIPHAN DR, Neosho, MO 64850
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Other Identifiers 1

Medicare UPINE41692MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Henry Bentlage Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Charles Bentlage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ozark Center
18 mi
Behavior Analyst
3230 WISCONSIN AVE
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • 75 clinicians in this Medicare group
NPI 1790038511 (417) 347-7600

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 64850 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JOSEPH E LUTES III FNP
Nurse Practitioner (Family)
4301 DONIPHAN DR
NEOSHO, MO 64850
Newton County (417) 451-9450

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 Charles Bentlage's NPI number?

The NPI number for Charles Bentlage is 1033436902. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Charles Bentlage located?

Charles Bentlage practices at 4301 Doniphan Dr, Neosho, MO 64850. The listed phone number is (417) 451-9450.

What is Charles Bentlage's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Bentlage enrolled in Medicare?

Yes. Charles Bentlage is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Bentlage's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Bentlage reassigns Medicare benefits to Ozark Center (Joplin, MO). 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 Charles Bentlage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Bentlage was last updated on April 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.