KELSEY L FORD BENCH MD
NPI 1295180982
Emergency Medicine in Los Angeles, CA

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-1945 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2020, Jul 21, 2020, Dec 4, 2019 (3 updates tracked since 2019).

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

NPI1295180982
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKELSEY L FORD BENCHCredential: MD
Location Address1200 N STATE ST, CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address1200 N State St, Clinic Tower, Suite A7dLos Angeles, CA 90033-1029
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateSeptember 4, 20203 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
NPI 1295180982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WA · MD61021863
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.

1200 N STATE ST, Los Angeles, CA 90033

Other Names 1

Former Name (1)Kelsey L Ford Md

Secondary Practice Locations 3

Location 1747 BroadwaySeattle, WA 98122-4379 · Phone (206) 386-6000
Location 2500 17th AveSeattle, WA 98122-5711 · Phone (206) 320-3000
Location 31700 13th StEverett, WA 98201-1689 · Phone (425) 261-2000 · Fax (405) 682-1586

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

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.

PECOS PAC ID6204182736
PECOS Enrollment IDI20200727002218
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 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.

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.
193 services191 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.
96 services85 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
40 services40 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.
40 services39 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.
24 services24 patients

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, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician 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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.77
Improvement Activities40

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.

Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
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.

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 with the weekly NPPES data releases published by CMS.