EVERT RANDALL BENTLEY DO NPI 1093793226
Internal Medicine in Fort Worth, TX
About EVERT RANDALL BENTLEY DO
Evert Bentley is an internist established in Fort Worth, Texas and his medical specialization is Internal Medicine with more than 39 years of experience. He graduated from University Of North Texas Hsc, College Of Osteopathic Med in 1984. The NPI number of Evert Bentley is 1093793226 and was assigned on January 2006. The practitioner's primary taxonomy code is 207R00000X with license number G7997 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.
An internist like Evert Randall Bentley Do is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
| NPI | 1093793226 |
| Provider Name | EVERT RANDALL BENTLEY DO |
| Provider Location Address | 855 MONTGOMERY ST FORT WORTH, TX 76107 |
| Provider Mailing Address | PO BOX 99335 FORT WORTH, TX 76199 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED |
| Graduation Year | 1984 |
| Is Sole Proprietor? | No |
| Enumeration Date | 01-06-2006 |
| Last Update Date | 02-19-2010 |
Evert Bentley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Evert Bentley is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Texas Health Harris Methodist Hospital Cleburne.
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.46 for a new patient copayment and $25.94 for an established patient copayment.
Primary Taxonomy
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | G7997 |
| License State | TX |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Business Address
EVERT RANDALL BENTLEY DO
855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2660
Fax: (817) 735-5441
Mailing Address
EVERT RANDALL BENTLEY DO
PO BOX 99335
FORT WORTH, TX
ZIP 76199
Phone: (817) 735-2660
Fax: (817) 735-5441
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 6305882267 |
| PECOS Enrollment ID | I20050630000351 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 76107 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.28 | $176.69 | $133.86 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.57 | $44.17 | $33.46 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.31 | $144.78 | $103.77 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.57 | $36.19 | $25.94 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 109Management and supervision of oxygen chamber therapy per session (HCPCS:99183)
- 71Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Evert Bentley is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE | 201 WALLS DRIVE CLEBURNE, TX 76033 | (817) 641-2551 | Acute Care Hospitals | 450148 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8X7296 | OTHER (01) | TX | BCBS |
| 8L8438 | MEDICARE PIN (08) | TX | |
| A65398 | MEDICARE UPIN (02) | TX | |
| 8D7516 | MEDICARE PIN (08) | TX | |
| P00784416 | OTHER (01) | TX | RAILROAD MEDICARE |
| 135596811 | MEDICAID (05) | TX |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 7 | 9 | 3 | 2 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 14 | 9 | 6 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 1 + 4 + 9 + 6 + 2 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1093793226 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922087055 | AMY E MOSS DO Individual | Internal Medicine | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1093795478 | DAVID C MASON DO Individual | Family Medicine | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2235 |
| 1801868906 | MICHAEL ERNEST WIMMER MD Individual | Physical Medicine & Rehabilitation | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2900 |
| 1225000326 | MONTE E TROUTMAN DO Individual | Internal Medicine (Gastroenterology) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1245203488 | JERRY DICKEY DO Individual | Neuromusculoskeletal Medicine & OMM | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2235 |
| 1700859154 | RUSSELL GAMBER DO Individual | Neuromusculoskeletal Medicine & OMM | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2235 |
| 1952362550 | JAMES ROCH Individual | Physician Assistant | 855 MONTGOMERY ST PCC-SECOND FLOOR FORT WORTH, TX 76107 (817) 735-2228 |
| 1285696658 | SUSAN FRANKS PHD Individual | Psychologist (Clinical) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2400 |
| 1194788844 | RAHUL K PATEL MD Individual | Internal Medicine (Rheumatology) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1053375543 | BARBARA A ATKINSON DO Individual | Internal Medicine (Infectious Disease) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1790749570 | CHRISTOPHER COOPER PA Individual | Physician Assistant | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2363 |
| 1184688053 | BARBARA L HARTY GNP Individual | Nurse Practitioner (Gerontology) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1629032560 | SARAH J MATCHES DO Individual | Pediatrics | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2363 |
| 1407810344 | JOHN K PODGORE DO Individual | Pediatrics | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2363 |
| 1144284910 | TOYYA S GOODRICH DO Individual | Pediatrics | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2363 |
| 1275598856 | WILLIAM E MCINTOSH DO Individual | Psychiatry & Neurology (Neurology) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1164487583 | NANCY A TIERNEY NP Individual | Nurse Practitioner (Acute Care) | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1154386647 | BRIAN B CARPENTER DPM Individual | Podiatrist | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2900 |
| 1689639031 | SHARON N CHA PA Individual | Physician Assistant | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
| 1306804810 | BRUCE D DUBIN DO Individual | Internal Medicine | 855 MONTGOMERY ST FORT WORTH, TX 76107 (817) 735-2660 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Evert Randall Bentley Do is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.