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KRISTEN F BENNETHUM PA-C
NPI 1447261771
Physician Assistant - Medical in Willow Grove, PA

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
92.09/100
CMS Quality Rating
2400 MARYLAND RD, SUITE 20, WILLOW GROVE, PA 19090(215) 830-8700(215) 830-8715 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen F Bennethum Pa-c NPPES

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

KRISTEN F BENNETHUM PA-C (NPI 1447261771) is an individual medical provider in Willow Grove, Pennsylvania, licensed in Pennsylvania (MA-051528) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1447261771
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTEN F BENNETHUMCredential: PA-C
Location Address2400 MARYLAND RD, SUITE 20Willow Grove, PA 19090-1700
Mailing Address2400 Maryland Rd, Suite 20Willow Grove, PA 19090-1700 · (215) 830-8700 · Fax (215) 830-8715
Phone(215) 830-8700
Fax(215) 830-8715
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 11, 2006
Last NPPES UpdateJanuary 12, 2016
✔ NPI 1447261771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA-051528
2400 MARYLAND RD, Willow Grove, PA 19090
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINQ05354PA
Medicare ID-Type Unspecified075965PA · Medicare Individual Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Kristen F Bennethum Pa-c 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 ID2961391198
PECOS Enrollment IDI20040315000292
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 10

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.

X-ray of wrist, 2 views 73100
An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.
157 services86 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
153 services112 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
62 services44 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.
50 services48 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.
43 services43 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
37 services33 patients

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.

92.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

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.

ANTHONY C ANZALONE DPM
Podiatrist (Foot & Ankle Surgery)
2400 MARYLAND RD, STE 30
WILLOW GROVE, PA 19090
Montgomery County (215) 659-4400
RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, P.C.
Prosthetic/Orthotic Supplier
2400 MARYLAND RD
WILLOW GROVE, PA 19090
Montgomery County (215) 830-8700
RICHARD GOLDBERG DO
Physical Medicine & Rehabilitation
2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090
Montgomery County (215) 830-8700
MRS. MARGERY ELLEN MAILE P.T.
Physical Therapist
2400 MARYLAND RD, SUITE 10
WILLOW GROVE, PA 19090
Montgomery County (215) 657-1115
ABINGTON ORTHOPAEDIC SPECIALISTS, PC
Orthopaedic Surgery
2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090
Montgomery County (215) 830-8700
KELLY PRESTIPINO
Specialist/Technologist (Athletic Trainer)
2400 MARYLAND RD
WILLOW GROVE, PA 19090
Montgomery County (800) 321-9999
ABINGTON ORTHOPAEDIC SPECIALISTS PC
Orthopaedic Surgery
2400 MARYLAND RD, SUITE 20
WILLOW GROVE, PA 19090
Montgomery County (215) 830-8700
ABINGTON ORTHOPAEDIC SPECIALISTSPC
Occupational Therapist (Hand)
2400 MARYLAND RD, SUITE 10
WILLOW GROVE, PA 19090
Montgomery County (215) 657-1115

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 Kristen Bennethum's NPI number?

The NPI number for Kristen Bennethum is 1447261771. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Kristen Bennethum located?

Kristen Bennethum practices at 2400 Maryland Rd Suite 20, Willow Grove, PA 19090. The listed phone number is (215) 830-8700.

What is Kristen Bennethum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristen Bennethum enrolled in Medicare?

Yes. Kristen Bennethum 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 Kristen Bennethum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kristen Bennethum 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 Kristen Bennethum was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.