WAYNE DAVID LEROY BENTHAM MD
NPI 1609952407
Psychiatry & Neurology - Psychiatry in Vadnais Heights, MN

Q: What is Wayne Bentham's NPI number?

The NPI number for Wayne Bentham is 1609952407. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Wayne Bentham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Bentham was last updated on February 28, 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.

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment

3640 TALMAGE CIR STE 216, VADNAIS HEIGHTS, MN 55110(952) 431-5330(952) 431-5334 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 28, 2023, Feb 20, 2023, Feb 10, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Wayne David Leroy Bentham Md NPPES

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

WAYNE DAVID LEROY BENTHAM MD (NPI 1609952407) is an individual psychiatry provider in Vadnais Heights, Minnesota, licensed in Minnesota (68407) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1997).

NPPES Registry Identity

NPI1609952407

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameWAYNE DAVID LEROY BENTHAMCredential: MD

Location Address3640 TALMAGE CIR STE 216Vadnais Heights, MN 55110-7100

Mailing Address3640 Talmage Cir Ste 216Vadnais Heights, MN 55110-7100 · (952) 431-5330 · Fax (951) 431-5334

Phone(952) 431-5330

Fax(952) 431-5334

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 1997

Enumeration DateOctober 27, 2006

Last NPPES UpdateFebruary 28, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2023

✔ NPI 1609952407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MN · 68407✔ Licensed in WI · 62533-20

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Psychosomatic MedicineTaxonomy 2084P0015X · License 62533-20 (WI)

3640 TALMAGE CIR STE 216, Vadnais Heights, MN 55110

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Other Identifiers 5

Other0186104WA · L&i

Medicaid1609952407WA

Medicaid214692001AR

Medicaid1609952407MO

Other276890Internal Id-motor Vehicle Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan, Security Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wayne David Leroy Bentham 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 ID749189777

PECOS Enrollment IDI20140827001585, I20220312000320

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 Wayne Bentham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Danielle Golden, Crna, PA

Same address

Adult Mental Health

3640 TALMAGE CIR STE 216
Vadnais Heights, MN 55110

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
21 clinicians in this Medicare group

NPI 1598954687 (952) 431-5330

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 9

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

1,280 services32 patients

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868

This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.

412 services17 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.

359 services54 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

116 services23 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.

55 services23 patients

Treatment using magnetic field to stimulate nerve cells in brain, subsequent motor threshold redetermination with delivery and management 90869

This treatment involves using a magnetic field to activate nerve cells in your brain. It's followed by re-evaluating your motor threshold, which determines the strength of the magnetic field used. This process aids in managing various neurological conditions.

38 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 5

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

MS. ELIZABETH STOLT LPCC, LADC

Counselor (Mental Health)