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DR. DOUGLAS PLATT BENSON II PSY.D
NPI 1306080544
Psychologist - Clinical in Provo, UT

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
1300 E CENTER ST, PROVO, UT 84606(801) 344-4400 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2019, Apr 29, 2019 (2 updates tracked since 2019).

About Dr. Douglas Platt Benson Ii Psy.d NPPES

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

DR. DOUGLAS PLATT BENSON II PSY.D (NPI 1306080544) is an individual clinical provider in Provo, Utah, licensed in Utah (6866553-2501) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1306080544
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DOUGLAS PLATT BENSON IICredential: PSY.D
Location Address1300 E CENTER STProvo, UT 84606-3554
Mailing AddressPo Box 270Provo, UT 84603-0270 · (801) 344-4400
Phone(801) 344-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 30, 2009
Last NPPES UpdateMay 16, 20192 updates tracked since enumeration
✔ NPI 1306080544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 6866553-2501
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 6866553-2501 (UT)
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 6866553-2501 (UT)
1300 E CENTER ST, Provo, UT 84606
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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

Dr. Douglas Platt Benson Ii Psy.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 ID9537384102
PECOS Enrollment IDI20140716000310
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 Douglas Benson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Utah
Same address
Psychiatric Hospital
1300 E CENTER ST
Provo, UT 84606
  • Reassigned Medicare billing, Utah enrollment
  • 84 clinicians in this Medicare group
NPI 1811978620 (801) 344-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84606 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

AARON EUGENE DEGRISELLES CTRS
Recreation Therapist
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4226
BRENNA GARRETT LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
EDWARD LESLIE KELLY MD
Psychiatry & Neurology (Forensic Psychiatry)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
WILLIAM KORY CAMP LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4215
UTAH STATE HOSPITAL
Psychiatric Hospital
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4331
KATIE DUVALL
Student in an Organized Health Care Education/Training Program
1300 E CENTER ST
PROVO, UT 84606
Utah County (013) 444-4400
KAZIA RYAN M.A.
Counselor
1300 E CENTER ST
PROVO, UT 84606
Utah County (385) 208-6904
THOMAS PAYNE LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400

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 Douglas Benson's NPI number?

The NPI number for Douglas Benson is 1306080544. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Douglas Benson located?

Douglas Benson practices at 1300 E Center St, Provo, UT 84606. The listed phone number is (801) 344-4400.

What is Douglas Benson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Douglas Benson enrolled in Medicare?

Yes. Douglas Benson 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 Douglas Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Benson reassigns Medicare benefits to State Of Utah (Provo, UT). 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 Douglas Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Benson was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.