ANTHONY A BENTLEY D.O.
NPI 1316919855
Otolaryngology in Springfield, MO

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807(000) 000-0000 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anthony A Bentley D.o. NPPES

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

ANTHONY A BENTLEY D.O. (NPI 1316919855) is an individual otolaryngology provider in Springfield, Missouri, licensed in Missouri (2010011172) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1316919855
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameANTHONY A BENTLEYCredential: D.O.
Location Address1001 E PRIMROSE STSpringfield, MO 65807-5155
Mailing Address1001 E Primrose StSpringfield, MO 65807-5155 · (417) 875-3000 · Fax (417) 875-3625
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 7, 2006
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
NPI 1316919855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in MO · 2010011172 Licensed in AR · E5699 Licensed in IL · 36115475 Licensed in IN · 02002288A Licensed in MI · 5101016752
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1001 E PRIMROSE ST, Springfield, MO 65807

Other Identifiers 2

Medicaid204238802MO
Medicaid175626003AR

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

Anthony A Bentley D.o. 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 ID3971661034
PECOS Enrollment IDI20100630000214
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 12

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
139 services139 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.
125 services110 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
103 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
51 services49 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.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier15 claims380 services$5.64 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers19 claims574 services$4.22 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers18 claims230 services$3.27 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$32.07 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.

Physician Assistant
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Otolaryngology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Urology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Nurse Practitioner (Family)
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Urology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Internal Medicine
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Nurse Practitioner
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Surgery
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807

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 Anthony Bentley's NPI number?

The NPI number for Anthony Bentley is 1316919855. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Anthony Bentley located?

Anthony Bentley practices at 1001 E Primrose St, Springfield, MO 65807. The listed phone number is (000) 000-0000.

What is Anthony Bentley's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Anthony Bentley enrolled in Medicare?

Yes. Anthony Bentley 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 Anthony Bentley accept?

Health plans from Cox HealthPlans list Anthony Bentley 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 Anthony Bentley affiliated with any hospitals?

According to CMS data, Anthony Bentley is affiliated with Cox Medical Centers and Cox Medical Center Branson.

When was this NPI record last updated?

The NPPES record for Anthony Bentley was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.