KELSEY L FORD BENCH MD
NPI 1295180982
Emergency Medicine in Los Angeles, CA
About Kelsey L Ford Bench Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY L FORD BENCH MD (NPI 1295180982) is an individual emergency medicine provider in Los Angeles, California, licensed in Washington (MD61021863) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
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
Kelsey L Ford Bench 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kelsey Ford Bench reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sammamish, WA 98074
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: King County Public Hospital District No 2
- 1,074 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 50 clinicians in this Medicare group
Seattle, WA 98122
- Reassigned Medicare billing, Washington enrollment
- 59 clinicians in this Medicare group
Seattle, WA 98107
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Ballard Emergency Physicians Ps
- 43 clinicians in this Medicare group
Kirkland, WA 98034
- Reassigned Medicare billing, Washington enrollment
- 69 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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Swedish Medical Center / Cherry Hill
Acute Care Hospitals · Seattle, WASwedish Medical Center
Acute Care Hospitals · Seattle, WAOverlake Hospital Medical Center
Acute Care Hospitals · Bellevue, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Kelsey Ford Bench's NPI number?
The NPI number for Kelsey Ford Bench is 1295180982. It was assigned to this individual provider in the NPPES registry on April 29, 2016. The provider is also known as Kelsey L Ford MD.
Where is Kelsey Ford Bench located?
Kelsey Ford Bench practices at 1200 N State St Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-1945.
What is Kelsey Ford Bench's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kelsey Ford Bench enrolled in Medicare?
Yes. Kelsey Ford Bench 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 Kelsey Ford Bench's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Ford Bench reassigns Medicare benefits to 5 organizations: Public Hospital District No 2 (Sammamish, WA), Puget Sound Physicians PLLC (Bellevue, WA), Seattle Emergency Physicians Services Inc Ps (Seattle, WA), Ballard Emergency Physicians, P.S. (Seattle, WA) and Evergreen Emergency Services, Ps (Kirkland, WA). 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 Kelsey Ford Bench's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsey Ford Bench affiliated with any hospitals?
According to CMS data, Kelsey Ford Bench is affiliated with Swedish Medical Center / Cherry Hill, Swedish Medical Center and Overlake Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Kelsey Ford Bench was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelsey L Ford Bench, MD · NPI 1295180982
Emergency Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 29, 2016.
## Identity
- **NPI:** 1295180982 (Entity type: Individual)
- **Enumerated:** April 29, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD61021863 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, CLINIC TOWER, SUITE A7D, Los Angeles, CA 90033-1029
- **Phone:** (323) 409-1945
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Public Hospital District No 2 (NPI 1417058694, Sammamish, WA); Puget Sound Physicians PLLC (NPI 1801900501, Bellevue, WA); Seattle Emergency Physicians Services Inc Ps (NPI 1376642298, Seattle, WA); Ballard Emergency Physicians, P.S. (NPI 1619909256, Seattle, WA); Evergreen Emergency Services, Ps (NPI 1619912524, Kirkland, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** September 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295180982) · Data from the CMS NPPES public registry.