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NELSON E BENNETT JR. MD
NPI 1366529240
Urology in Chicago, IL

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST STE 20-150, CHICAGO, IL 60611(312) 695-8146(312) 695-7030 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2019, Nov 14, 2016 (2 updates tracked since 2016).

About Nelson E Bennett Jr. Md NPPES

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

NELSON E BENNETT JR. MD (NPI 1366529240) is an individual urology provider in Chicago, Illinois, licensed in Illinois (036140620) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1999).

NPPES Registry Identity

NPI1366529240
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameNELSON E BENNETT JR.Credential: MD
Location Address675 N SAINT CLAIR ST STE 20-150Chicago, IL 60611-5979
Mailing Address675 N Saint Clair St Ste 20-150Chicago, IL 60611-5979 · (312) 695-8146 · Fax (312) 695-7030
Phone(312) 695-8146
Fax(312) 695-7030
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1999
Enumeration DateOctober 31, 2006
Last NPPES UpdateMarch 19, 20192 updates tracked since enumeration
✔ NPI 1366529240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 036140620
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
675 N SAINT CLAIR ST STE 20-150, Chicago, IL 60611
Open in Google Maps ↗

Other Identifiers 2

Other4S3451NY · Medicare Id
Medicaid110077210AMA

Accepted Insurance

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

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

Nelson E Bennett Jr. 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 ID6709893605
PECOS Enrollment IDI20160526002064
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 Nelson Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Medical Faculty Foundation
35 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

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

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.

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.
145 services122 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.
71 services69 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services39 patients
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310
This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
16 services16 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
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.

MR. NICHOLAS STEWART DEAN M.D.
Urology
675 N SAINT CLAIR ST STE 20-150
CHICAGO, IL 60611
Cook County (312) 695-8146
DR. HITEN DILIP PATEL MD, MPH
Urology
675 N SAINT CLAIR ST STE 20-150
CHICAGO, IL 60611
Cook County (312) 695-8146
MISS KAVITHA RAJENDRAN PA-C
Physician Assistant
675 N SAINT CLAIR ST STE 20-150
CHICAGO, IL 60611
Cook County (312) 695-8146
RYAN GREGORY LEWIS PA-C
Physician Assistant
675 N SAINT CLAIR ST STE 20-150
CHICAGO, IL 60611
Cook County (312) 695-8146
RACHEL ELISE HASELTINE PA-C
Physician Assistant
675 N SAINT CLAIR ST STE 20-150
CHICAGO, IL 60611
Cook County (312) 695-8146
AMY E KRAMBECK M.D.
Urology
675 N SAINT CLAIR ST STE 20-150
CHICAGO, IL 60611
Cook County (312) 695-8146
ELISABETH VENERUS DNP, AGACNP-BC
Nurse Practitioner
675 N SAINT CLAIR ST STE 20-150
CHICAGO, IL 60611
Cook County (312) 695-8146
ALLISON SHAFRAN PA
Physician Assistant
675 N SAINT CLAIR ST STE 20-150
CHICAGO, IL 60611
Cook County (312) 695-8146

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 Nelson Bennett's NPI number?

The NPI number for Nelson Bennett is 1366529240. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Nelson Bennett located?

Nelson Bennett practices at 675 N Saint Clair St Ste 20-150, Chicago, IL 60611. The listed phone number is (312) 695-8146.

What is Nelson Bennett's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Nelson Bennett enrolled in Medicare?

Yes. Nelson Bennett 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 Nelson Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Bennett reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Nelson Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nelson Bennett accept?

Health plans from Taro Health list Nelson Bennett 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 Nelson Bennett affiliated with any hospitals?

According to CMS data, Nelson Bennett is affiliated with Palos Community Hospital, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nelson Bennett was last updated on March 19, 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.