MR. JAMES F BENNETT M.D.
NPI 1588920896
Internal Medicine - Rheumatology in Helena, MT

Q: What is James Bennett's NPI number?

The NPI number for James Bennett is 1588920896. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Q: What is James Bennett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for James Bennett was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment

81.43/100

CMS Quality Rating

2550 E BROADWAY ST, HELENA, MT 59601(406) 457-4180 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2018, Jul 12, 2018, Jun 14, 2016 (3 updates tracked since 2016).

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About Mr. James F Bennett M.d. NPPES

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

MR. JAMES F BENNETT M.D. (NPI 1588920896) is an individual rheumatology provider in Helena, Montana, licensed in Montana (MED-PHYS-LIC-66474) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of University Of New Mexico School Of Medicine (2012).

NPPES Registry Identity

NPI1588920896

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameMR. JAMES F BENNETTCredential: M.D.

Location Address2550 E BROADWAY STHelena, MT 59601

Mailing AddressPo Box 6369Helena, MT 59604-6369 · (406) 447-2823

Phone(406) 457-4180

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2012

Enumeration DateApril 11, 2012

Last NPPES UpdateJuly 16, 20183 updates tracked since enumeration

✔ NPI 1588920896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in MT · MED-PHYS-LIC-66474

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License MED-PHYS-LIC-66454 (MT)

2550 E BROADWAY ST, Helena, MT 59601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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

Mr. James F Bennett M.d. 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 ID3678707668

PECOS Enrollment IDI20180813001186

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 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.

351 services210 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.

254 services147 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.

22 services19 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

16 services13 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Peters Health

Acute Care Hospitals · Helena, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270003

Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County

Emergency services Birthing friendly

St James Healthcare

Acute Care Hospitals · Butte, MT

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270017

Location400 S Clark StButte, MT 59701 · Silver Bow County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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

$130.52 typical visit price

range $56.81 – $172.26

Typical copayment $32.63 (range $14.20 – $43.06)

Most-billed visit code 99204

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

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.

81.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.22

Promoting Interoperability

100

Improvement Activities

Cost

64.88

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier13 claims52 services$19.33 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims4,160 services$9.51 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

1 supplier13 claims52 services$2.41 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.

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