DR. MICHAEL C BENNETT D.O.
NPI 1184081036
Emergency Medicine in Tacoma, WA

Active since January 23, 2016PECOS EnrolledAccepts Medicare Assignment
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2020, Aug 5, 2019, Aug 4, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Michael C Bennett D.o. NPPES

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

DR. MICHAEL C BENNETT D.O. (NPI 1184081036) is an individual emergency medicine provider in Tacoma, Washington, licensed in Washington (OP61438606) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1184081036
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL C BENNETTCredential: D.O.
Location Address9040 JACKSON AVETacoma, WA 98431-1000
Mailing Address3433 Hera St NeLacey, WA 98516-4505 · (208) 406-8731
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2016
Enumeration DateJanuary 23, 2016
Last NPPES UpdateMarch 28, 20245 updates tracked since enumeration
NPPES CertifiedMarch 28, 2024
✔ NPI 1184081036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WA · OP61438606✔ Licensed in NE · 1700
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.
9040 JACKSON AVE, Tacoma, WA 98431

Secondary Practice Location 1

Location 1700 Lilly Rd NEOlympia, WA 98506-5115 · Phone (360) 923-7000 · Fax (360) 923-7089

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael C Bennett D.o. 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 ID6709170558
PECOS Enrollment IDI20240210000655, I20260227002017
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 Reassignments

6

Medicare enrollment records show Michael Bennett reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
34515 9TH AVE S
Federal Way, WA 98003
  • Reassigned Medicare billing, Washington enrollment
  • 190 clinicians in this Medicare group
Emergency Medicine
3900 CAPITAL MALL DR SW
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • 58 clinicians in this Medicare group
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
Emergency Medicine
330 S STILLAGUAMISH AVE
Arlington, WA 98223
  • Reassigned Medicare billing, Washington enrollment
  • 519 clinicians in this Medicare group
Skilled Nursing Facility
2811 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington and Oregon enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1093043424 (Oregon)
  • 2,534 clinicians in this Medicare group
Internal Medicine
700 NE 87TH AVE
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 711 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
67 services52 patients
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.
67 services65 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.
27 services26 patients

Hospital Affiliations CMS Care Compare

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Michael Bennett's NPI number?

The NPI number for Michael Bennett is 1184081036. It was assigned to this individual provider in the NPPES registry on January 23, 2016.

Where is Michael Bennett located?

Michael Bennett practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2252.

What is Michael Bennett's specialty?

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

Is Michael Bennett enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bennett reassigns Medicare benefits to 6 organizations: Northwest Observation Associates PC (Federal Way, WA), Olympia Emergency Care Physicians PLLC (Olympia, WA), Kaiser Foundation Health Plan Of Washington (Renton, WA), Northwest Emergency Physicians LLC (Arlington, WA), Manor Care Of Salmon Creek Wa, Association (Vancouver, WA) and 1 more organization, listed in the Medicare section above. Each 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 Michael Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Bennett affiliated with any hospitals?

According to CMS data, Michael Bennett is affiliated with St Clare Hospital.

When was this NPI record last updated?

The NPPES record for Michael Bennett was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.