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SEAN P BENNER DO
NPI 1124642095
Emergency Medicine in Pontiac, MI

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
50 N PERRY ST, PONTIAC, MI 48342(248) 338-5392 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, May 17, 2023, Jun 5, 2020 (3 updates tracked since 2020).

About Sean P Benner Do NPPES

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

SEAN P BENNER DO (NPI 1124642095) is an individual emergency medicine provider in Pontiac, Michigan, licensed in Michigan (5101027325) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and maintains a secondary practice location in Farmington Hills.

NPPES Registry Identity

NPI1124642095
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSEAN P BENNERCredential: DO
Location Address50 N PERRY STPontiac, MI 48342-2217
Mailing Address50 N Perry StPontiac, MI 48342-2217 · (248) 338-5392
Phone(248) 338-5392
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020
Enumeration DateJune 5, 2020
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1124642095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101027325
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
50 N PERRY ST, Pontiac, MI 48342
Open in Google Maps ↗

Secondary Practice Location 1

Location 137000 Grand River Ave Ste 310Farmington Hills, MI 48335-2868 · Phone (248) 536-2127 · Fax (248) 893-6952

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sean P Benner Do 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 ID2668897166
PECOS Enrollment IDI20230518002407
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 8

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
107 services104 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
72 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services20 patients
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.
21 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48342 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

THAMILARASI SUBRAMANIAN
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. CORY ERIC MANOOGIAN DO
Psychiatry & Neurology (Psychiatry)
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 384-8130
DR. ESSA HANNA HATTAR MD
Family Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5392
IMPACT ACO BILLING COMPANY LLC
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5516
ANDREW CHARLES ABIRAGI
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5300
MARTIN ANTONIO RIVERA
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
SHALIN R LASHKARI MSPT
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. MICHAEL CHRISTOPHER DETTLOFF D.O.
Emergency Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000

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 Sean Benner's NPI number?

The NPI number for Sean Benner is 1124642095. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Sean Benner located?

Sean Benner practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5392.

What is Sean Benner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sean Benner enrolled in Medicare?

Yes. Sean Benner 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 Sean Benner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sean Benner 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 Sean Benner affiliated with any hospitals?

According to CMS data, Sean Benner is affiliated with Henry Ford Allegiance Health and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Sean Benner was last updated on October 1, 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.