WILLIAM M BENNETT MD
NPI 1457320525
Internal Medicine - Nephrology in Portland, OR

Active since March 14, 2006PECOS Enrolled
1040 NW 22ND AVE, SUITE 480, PORTLAND, OR 97210(503) 413-6555(503) 413-6563 Get Directions Write a Review

NPPES record last updated: April 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William M Bennett Md NPPES

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

WILLIAM M BENNETT MD (NPI 1457320525) is an individual nephrology provider in Portland, Oregon, licensed in Oregon (07668) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457320525
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameWILLIAM M BENNETTCredential: MD
Location Address1040 NW 22ND AVE, SUITE 480Portland, OR 97210
Mailing Address1040 Nw 22nd Ave, Suite 480Portland, OR 97210 · (503) 413-6555 · Fax (503) 413-6563
Fax(503) 413-6563
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateApril 11, 2014
NPI 1457320525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in OR · 07668 Licensed in WA · 09973
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1040 NW 22ND AVE, Portland, OR 97210

Other Identifiers 4

Medicaid8159055WA
Medicare UPINC92190OR
Medicare ID-Type UnspecifiedR00WCGSJHOR
Medicaid042044OR

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 (PECOS)

William M 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers19 claims4,440 services$0.35 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers16 claims2,250 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers16 claims1,860 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers18 claims18 services$16.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers38 claims42 services$12.01 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.

Specialist
1040 NW 22ND AVE, SUITE 660
PORTLAND, OR 97210
Physical Medicine & Rehabilitation
1040 NW 22ND AVE, SUITE 320
PORTLAND, OR 97210
Audiologist
1040 NW 22ND AVE, SUITE 460
PORTLAND, OR 97210
Colon & Rectal Surgery
1040 NW 22ND AVE, SUITE 540
PORTLAND, OR 97210
Nurse Practitioner (Adult Health)
1040 NW 22ND AVE, SUITE 420
PORTLAND, OR 97210
Physician Assistant (Surgical)
1040 NW 22ND AVE, SUITE 500
PORTLAND, OR 97210
Surgery (Surgical Oncology)
1040 NW 22ND AVE, SUITE 540
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1040 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210

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 William Bennett's NPI number?

The NPI number for William Bennett is 1457320525. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is William Bennett located?

William Bennett practices at 1040 NW 22nd Ave Suite 480, Portland, OR 97210. The listed phone number is (503) 413-6555.

What is William Bennett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is William Bennett enrolled in Medicare?

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

What insurance does William Bennett accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list William 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 William Bennett was last updated on April 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.