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DR. KEITH G BENNETT MD
NPI 1427085075
Family Medicine in Pine Bluff, AR

Active since June 27, 2006PECOS Enrolled
4310 S MULBERRY ST, PINE BLUFF, AR 71603(870) 541-8747 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 27, 2023, Jan 19, 2021 (2 updates tracked since 2021).

About Dr. Keith G Bennett Md NPPES

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

DR. KEITH G BENNETT MD (NPI 1427085075) is an individual family medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (C6572) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427085075
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEITH G BENNETTCredential: MD
Location Address4310 S MULBERRY STPine Bluff, AR 71603-7030
Mailing AddressPo Box 2650Pine Bluff, AR 71613-2650 · (870) 547-7211 · Fax (870) 541-4297
Phone(870) 541-8747
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 27, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1427085075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · C6572
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4310 S MULBERRY ST, Pine Bluff, AR 71603
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Other Identifiers 1

Medicaid115670001AR

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith G Bennett Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson Hospital Association, Inc
0.3 mi
Pulmonary Disease
1601 W 40TH AVE, SUITE 301
Pine Bluff, AR 71603
  • Reassigned Medicare billing, Arkansas enrollment
  • 106 clinicians in this Medicare group
NPI 1932157674 (870) 879-3007

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 6

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
286 services67 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.
264 services61 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.
115 services38 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.
100 services36 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
99 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6207
DME-Medical/Surgical Supplies · category DA023N
1 supplier26 claims260 services$6.14 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers46 claims3,970 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers39 claims5,160 services$0.36 avg. paid by Medicare
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard A6449
DME-Medical/Surgical Supplies · category DA023N
2 suppliers39 claims2,112 services$1.64 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEMATOLOGY ONCOLOGY ASSOCIATES P.A.
Specialist
4310 S MULBERRY ST
PINE BLUFF, AR 71603
Jefferson County (870) 534-1188
SOUTH ARK EAR NOSE & THROAT CLINIC P A
Clinic/Center (Ambulatory Surgical)
4310 S MULBERRY ST
PINE BLUFF, AR 71603
Jefferson County (870) 535-5177

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 Keith Bennett's NPI number?

The NPI number for Keith Bennett is 1427085075. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Keith Bennett located?

Keith Bennett practices at 4310 S Mulberry St, Pine Bluff, AR 71603. The listed phone number is (870) 541-8747.

What is Keith Bennett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Bennett enrolled in Medicare?

Yes. Keith Bennett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Bennett reassigns Medicare benefits to Jefferson Hospital Association, Inc (Pine Bluff, AR). 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 Keith Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Bennett accept?

Health plans from Health Advantage and Octave list Keith 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.

When was this NPI record last updated?

The NPPES record for Keith Bennett was last updated on January 27, 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.