KELLY M BENNETT M.D.
NPI 1306136460
Pediatrics in Bowling Green, KY

Q: What is Kelly Bennett's NPI number?

The NPI number for Kelly Bennett is 1306136460. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Kelly Bennett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Bennett was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 11, 2011PECOS Enrolled

2724 NASHVILLE RD, BOWLING GREEN, KY 42101(270) 781-5111 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Sep 10, 2018 (2 updates tracked since 2018).

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About Kelly M Bennett M.d. NPPES

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

KELLY M BENNETT M.D. (NPI 1306136460) is an individual pediatrics provider in Bowling Green, Kentucky, licensed in Kentucky (58177) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306136460

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKELLY M BENNETTCredential: M.D.

Location Address2724 NASHVILLE RDBowling Green, KY 42101-4000

Mailing Address201 Park StBowling Green, KY 42101-1708 · (270) 781-5111

Phone(270) 781-5111

Sole ProprietorNo

Enumeration DateApril 11, 2011

Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1306136460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in KY · 58177✔ Licensed in OH · 35122871

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2724 NASHVILLE RD, Bowling Green, KY 42101

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Other Identifiers 1

Medicaid0114738OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly M Bennett M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

SHAUNA STICE APRN

Nurse Practitioner (Family)