ERIKA MARGARET BENNETT MD
NPI 1053840371
Surgery in Medford, OR

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
520 MEDICAL CENTER DR STE 300, MEDFORD, OR 97504(541) 930-8907(541) 245-4820 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Aug 8, 2024, Jul 24, 2024 and 2 more (5 updates tracked since 2017).

About Erika Margaret Bennett Md NPPES

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

ERIKA MARGARET BENNETT MD (NPI 1053840371) is an individual surgery provider in Medford, Oregon, licensed in Oregon (MD218722) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2017).

NPPES Registry Identity

NPI1053840371
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameERIKA MARGARET BENNETTCredential: MD
Location Address520 MEDICAL CENTER DR STE 300Medford, OR 97504-4316
Mailing Address520 Medical Center Dr Ste 300Medford, OR 97504-4316 · (541) 930-8900 · Fax (541) 245-4820
Fax(541) 245-4820
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateOctober 3, 20245 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1053840371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in OR · MD218722
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
520 MEDICAL CENTER DR STE 300, Medford, OR 97504

Other Names 1

Former Name (1)Erika Margaret Allen Md

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erika Margaret Bennett 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 ID6002188851
PECOS Enrollment IDI20240807003345
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR
OwnershipGovernment - Local
CMS Certification Number380005
Location280 Maple StreetAshland, OR 97520 · Jackson County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Physician Assistant
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Nurse Practitioner (Family)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Dietitian, Registered
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Physician Assistant (Surgical)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Surgery
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Nurse Practitioner (Family)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Surgery (Vascular Surgery)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Physician Assistant (Surgical)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504

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 Erika Bennett's NPI number?

The NPI number for Erika Bennett is 1053840371. It was assigned to this individual provider in the NPPES registry on June 8, 2017. The provider is also known as Erika Margaret Allen MD.

Where is Erika Bennett located?

Erika Bennett practices at 520 Medical Center Dr Ste 300, Medford, OR 97504. The listed phone number is (541) 930-8907.

What is Erika Bennett's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Erika Bennett enrolled in Medicare?

Yes. Erika 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.

What insurance does Erika Bennett accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Erika 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.

Is Erika Bennett affiliated with any hospitals?

According to CMS data, Erika Bennett is affiliated with Asante Three Rivers Medical Center, Asante Ashland Community Hospital, Asante Rogue Regional Medical Center and Providence Medford Medical Center.

When was this NPI record last updated?

The NPPES record for Erika Bennett was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.