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SONIA IBUKI BENNETT MD
NPI 1265826192
Internal Medicine - Endocrinology, Diabetes & Metabolism in Beavercreek, OH

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment
77.04/100
CMS Quality Rating
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324(937) 245-7200(937) 245-7999 Get Directions Write a Review

NPPES record last updated: May 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2022, Feb 27, 2020, Jun 19, 2018 (3 updates tracked since 2018).

About Sonia Ibuki Bennett Md NPPES

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

SONIA IBUKI BENNETT MD (NPI 1265826192) is an individual endocrinology, diabetes & metabolism provider in Beavercreek, Ohio, licensed in Ohio (35.138463) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2015).

NPPES Registry Identity

NPI1265826192
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSONIA IBUKI BENNETTCredential: MD
Location Address725 UNIVERSITY BLVDBeavercreek, OH 45324-2640
Mailing Address725 University BlvdBeavercreek, OH 45324-2640 · (937) 245-7200
Phone(937) 245-7200
Fax(937) 245-7999
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2015
Enumeration DateMarch 28, 2015
Last NPPES UpdateMay 7, 20223 updates tracked since enumeration
NPPES CertifiedMay 7, 2022
✔ NPI 1265826192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in OH · 35.138463✔ Licensed in KY · 51071
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
725 UNIVERSITY BLVD, Beavercreek, OH 45324
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sonia Ibuki 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 ID840504528
PECOS Enrollment IDI20200310002041
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 Reassignment

Medicare enrollment records show Sonia Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Health Specialists Inc
6.9 mi
Clinical Nurse Specialist
1 WYOMING ST, SUITE 4490
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1386980522 (937) 208-5287

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 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 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.
424 services233 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
95 services83 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
41 services15 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
35 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 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.
23 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45324 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

77.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability100
Improvement Activities40
Cost48.67

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers99 claims99 services$176.70 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.

SAMANTHA ACHAUER MD
Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Greene County (937) 775-7792
DR. JOSEPH KEVIN GRIFFIN MD
Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
FAIRBORN, OH 45324
Greene County (937) 775-7792
NIKHIL TEJ KURAPATI MD, MPH
Family Medicine
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Greene County (937) 245-7200
THERESIA GORDNIER
Family Medicine
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Greene County (937) 245-7200
DR. HARMINDER GREWAL MD
Family Medicine
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Greene County (937) 245-7200
GABRIELLE MARKLEY
Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Greene County (937) 245-7000
DR. JOHN BRODERICK
Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Greene County (937) 343-4310
EMILY MURPHY
Psychiatry & Neurology (Psychiatry)
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Greene County (937) 775-7792

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 Sonia Bennett's NPI number?

The NPI number for Sonia Bennett is 1265826192. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Sonia Bennett located?

Sonia Bennett practices at 725 University Blvd, Beavercreek, OH 45324. The listed phone number is (937) 245-7200.

What is Sonia Bennett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sonia Bennett enrolled in Medicare?

Yes. Sonia 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 organization bills Medicare for Sonia Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Bennett reassigns Medicare benefits to Premier Health Specialists Inc (Dayton, OH). The 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 Sonia Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Bennett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Sonia 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 Sonia Bennett affiliated with any hospitals?

According to CMS data, Sonia Bennett is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Kettering Health Dayton and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for Sonia Bennett was last updated on May 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.