ARTHUR BENTSEN M.D.
NPI 1295713857
Internal Medicine - Pulmonary Disease in Evansville, IN

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
519 HARRIET ST, EVANSVILLE, IN 47710(812) 450-7720(812) 450-7730 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arthur Bentsen M.d. NPPES

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

ARTHUR BENTSEN M.D. (NPI 1295713857) is an individual pulmonary disease provider in Evansville, Indiana, licensed in Indiana (01029107) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1295713857
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameARTHUR BENTSENCredential: M.D.
Location Address519 HARRIET STEvansville, IN 47710-1715
Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-7720 · Fax (812) 450-7730
Fax(812) 450-7730
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJanuary 4, 2006
Last NPPES UpdateMarch 8, 2011
NPI 1295713857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IN · 01029107
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
519 HARRIET ST, Evansville, IN 47710

Other Identifiers 7

Medicaid100356250IN
Medicare PIN639620LLLLIN
Medicaid64752363KY
Medicare PIN267190FIN
Medicare UPINB29640IN
Medicare PINP00449989IN
Medicare PIN636570HIN

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

Arthur Bentsen M.d. 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 ID5991721060
PECOS Enrollment IDI20051018000707
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 10

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.
239 services224 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.
87 services81 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
81 services78 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
77 services76 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.
62 services52 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
55 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47710 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.48
Promoting Interoperability100
Improvement Activities40
Cost47.81

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
23 suppliers791 claims791 services$38.26 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
20 suppliers424 claims424 services$95.50 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers413 claims1,103 services$35.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
17 suppliers246 claims1,266 services$20.44 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers234 claims1,299 services$14.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
23 suppliers495 claims495 services$59.15 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.

Internal Medicine (Pulmonary Disease)
519 HARRIET ST
EVANSVILLE, IN 47710
Internal Medicine
519 HARRIET ST
EVANSVILLE, IN 47710
Nurse Practitioner
519 HARRIET ST
EVANSVILLE, IN 47710
Nurse Practitioner (Acute Care)
519 HARRIET ST
EVANSVILLE, IN 47710
Internal Medicine (Pulmonary Disease)
519 HARRIET ST
EVANSVILLE, IN 47710
Internal Medicine (Pulmonary Disease)
519 HARRIET ST
EVANSVILLE, IN 47710
Nurse Practitioner
519 HARRIET ST
EVANSVILLE, IN 47710
Nurse Practitioner
519 HARRIET ST
EVANSVILLE, IN 47710

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 Arthur Bentsen's NPI number?

The NPI number for Arthur Bentsen is 1295713857. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Arthur Bentsen located?

Arthur Bentsen practices at 519 Harriet St, Evansville, IN 47710. The listed phone number is (812) 450-7720.

What is Arthur Bentsen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Arthur Bentsen enrolled in Medicare?

Yes. Arthur Bentsen 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 Arthur Bentsen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Arthur Bentsen 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 Arthur Bentsen affiliated with any hospitals?

According to CMS data, Arthur Bentsen is affiliated with Deaconess Hospital Inc and Gibson General Hospital.

When was this NPI record last updated?

The NPPES record for Arthur Bentsen was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.