CRAIG S BENNETT MD
NPI 1073571444
Family Medicine in Onalaska, WI

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
191 THEATER RD, ONALASKA, WI 54650(608) 392-5000 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2020, May 21, 2019, May 10, 2019 and 1 more (4 updates tracked since 2016).

About Craig S Bennett Md NPPES

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

CRAIG S BENNETT MD (NPI 1073571444) is an individual family medicine provider in Onalaska, Wisconsin, licensed in Wisconsin (42522) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and is a graduate of University Of Minnesota Medical School (1999).

NPPES Registry Identity

NPI1073571444
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCRAIG S BENNETTCredential: MD
Location Address191 THEATER RDOnalaska, WI 54650-8679
Mailing AddressPo Box 1510Eau Claire, WI 54702-1510 · (715) 838-5222
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1999
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 16, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
NPI 1073571444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 42522
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.
191 THEATER RD, Onalaska, WI 54650

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

Craig S 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 ID5092729145
PECOS Enrollment IDI20060127000781
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
314 services184 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
137 services137 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
126 services103 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521305
Location310 W Main StSparta, WI 54656 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54650 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims38 services$6.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$75.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
191 THEATER RD
ONALASKA, WI 54650
Otolaryngology
191 THEATER RD
ONALASKA, WI 54650
Pediatrics
191 THEATER RD
ONALASKA, WI 54650
Optometrist
191 THEATER RD
ONALASKA, WI 54650
Nurse Practitioner
191 THEATER RD
ONALASKA, WI 54650
Family Medicine
191 THEATER RD
ONALASKA, WI 54650
Nurse Practitioner
191 THEATER RD
ONALASKA, WI 54650
Nurse Practitioner
191 THEATER RD
ONALASKA, WI 54650

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 Craig Bennett's NPI number?

The NPI number for Craig Bennett is 1073571444. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Craig Bennett located?

Craig Bennett practices at 191 Theater Rd, Onalaska, WI 54650. The listed phone number is (608) 392-5000.

What is Craig Bennett's specialty?

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

Is Craig Bennett enrolled in Medicare?

Yes. Craig 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 Craig Bennett accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Craig 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 Craig Bennett affiliated with any hospitals?

According to CMS data, Craig Bennett is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc and Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta.

When was this NPI record last updated?

The NPPES record for Craig Bennett was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.