DR. BROCK TANNER BENNETT MD
NPI 1578092193
Surgery - Vascular Surgery in Medford, OR

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
520 MEDICAL CENTER DR STE 300, MEDFORD, OR 97504(541) 930-8907(541) 245-4820 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2024, Jun 7, 2017 (2 updates tracked since 2017).

About Dr. Brock Tanner Bennett Md NPPES

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

DR. BROCK TANNER BENNETT MD (NPI 1578092193) is an individual vascular surgery provider in Medford, Oregon, licensed in Oregon (MD218720) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of University Of Arizona College Of Medicine - Phoenix (2017).

NPPES Registry Identity

NPI1578092193
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. BROCK TANNER BENNETTCredential: MD
Location Address520 MEDICAL CENTER DR STE 300Medford, OR 97504-4316
Mailing Address520 Medical Center Dr Ste 300Medford, OR 97504-4316 · (541) 930-8907 · Fax (541) 245-4820
Fax(541) 245-4820
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1578092193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in OR · MD218720
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License MD218720 (OR)
520 MEDICAL CENTER DR STE 300, Medford, OR 97504

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

Dr. Brock Tanner Bennett 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 ID5890067664
PECOS Enrollment IDI20240807003076
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Ashland Community Hospital

Acute Care Hospitals · Ashland, OR
OwnershipGovernment - Local
CMS Certification Number380005
Location280 Maple StreetAshland, OR 97520 · Jackson County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Curry General Hospital

Critical Access Hospitals · Gold Beach, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381322
Location94220 Fourth StreetGold Beach, OR 97444 · Curry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 12

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

Physician Assistant
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Nurse Practitioner (Family)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Surgery
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Dietitian, Registered
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Physician Assistant (Surgical)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Surgery
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Nurse Practitioner (Family)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504
Physician Assistant (Surgical)
520 MEDICAL CENTER DR STE 300
MEDFORD, OR 97504

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 Brock Bennett's NPI number?

The NPI number for Brock Bennett is 1578092193. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Brock Bennett located?

Brock Bennett practices at 520 Medical Center Dr Ste 300, Medford, OR 97504. The listed phone number is (541) 930-8907.

What is Brock Bennett's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Brock Bennett enrolled in Medicare?

Yes. Brock 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.

What insurance does Brock Bennett accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brock 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 Brock Bennett affiliated with any hospitals?

According to CMS data, Brock Bennett is affiliated with Asante Three Rivers Medical Center, Asante Ashland Community Hospital, Asante Rogue Regional Medical Center and Curry General Hospital.

When was this NPI record last updated?

The NPPES record for Brock Bennett was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.