MARY CATHERINE BENTLER P.A.
NPI 1205074267
Physician Assistant in West Burlington, IA

Active since January 29, 2009PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1225 S GEAR AVE, SUITE 153, WEST BURLINGTON, IA 52655(319) 754-4400(319) 754-4412 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Catherine Bentler P.a. NPPES

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

MARY CATHERINE BENTLER P.A. (NPI 1205074267) is an individual physician assistant in West Burlington, Iowa, licensed in Iowa (001970) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2008).

NPPES Registry Identity

NPI1205074267
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY CATHERINE BENTLERCredential: P.A.
Location Address1225 S GEAR AVE, SUITE 153West Burlington, IA 52655-1691
Mailing Address1225 S Gear Ave, Suite 153West Burlington, IA 52655-1691 · (319) 754-4400 · Fax (319) 754-4412
Fax(319) 754-4412
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2008
Enumeration DateJanuary 29, 2009
Last NPPES UpdateDecember 1, 2016
NPI 1205074267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IA · 001970
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1225 S GEAR AVE, West Burlington, IA 52655

Other Identifiers 4

Medicare PIN19075009IA
Medicaid1275533713IA
Other1205074267IA · Wellmark Blue Cross/blue Shield
Medicare PINI5481009IA

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

Mary Catherine Bentler P.a. 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 ID1658438825
PECOS Enrollment IDI20090316000581
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 6

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 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.
219 services69 patients
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.
136 services29 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
95 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier16 claims1,160 services$0.35 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims800 services$0.10 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims1,256 services$0.35 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.

Nurse Practitioner (Family)
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Otolaryngology
1225 S GEAR AVE, STE 255
WEST BURLINGTON, IA 52655
Family Medicine
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Counselor (Mental Health)
1225 S GEAR AVE, STE 252
WEST BURLINGTON, IA 52655
Dentist (Oral and Maxillofacial Surgery)
1225 S GEAR AVE, MERCY PLZ STE 156
W BURLINGTON, IA 52655
Psychiatry & Neurology (Neurology)
1225 S GEAR AVE, SUITE 153, MERCY PLAZA
WEST BURLINGTON, IA 52655
Orthopaedic Surgery
1225 S GEAR AVE, SUITE 159
WEST BURLINGTON, IA 52655
Internal Medicine
1225 S GEAR AVE
WEST BURLINGTON, IA 52655

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 Mary Bentler's NPI number?

The NPI number for Mary Bentler is 1205074267. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Mary Bentler located?

Mary Bentler practices at 1225 S Gear Ave Suite 153, West Burlington, IA 52655. The listed phone number is (319) 754-4400.

What is Mary Bentler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Bentler enrolled in Medicare?

Yes. Mary Bentler 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 Mary Bentler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Mary Bentler 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 Mary Bentler affiliated with any hospitals?

According to CMS data, Mary Bentler is affiliated with Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Bentler was last updated on December 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.