1. Home
  2. Directory
  3. Washington
  4. Puyallup
  5. Otolaryngology
  6. NPI Profile

RANDALL PAUL BENNETT MD
NPI 1619907953
Otolaryngology in Puyallup, WA

Active since July 03, 2006PECOS Enrolled
104 27TH AVE SE, PUYALLUP, WA 98374(253) 770-9000(253) 770-9712 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Paul Bennett Md NPPES

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

RANDALL PAUL BENNETT MD (NPI 1619907953) is an individual otolaryngology provider in Puyallup, Washington, licensed in Washington (MD22922) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619907953
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameRANDALL PAUL BENNETTCredential: MD
Location Address104 27TH AVE SEPuyallup, WA 98374-1145
Mailing AddressPo Box 1205Puyallup, WA 98371-0231 · (253) 770-9000
Phone(253) 770-9000
Fax(253) 770-9712
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateOctober 20, 2015
✔ NPI 1619907953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in WA · MD22922
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
104 27TH AVE SE, Puyallup, WA 98374
Open in Google Maps ↗

Other Identifiers 3

Medicaid7078017WA
Medicare PING115000969WA
Medicare UPINE40311WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall Paul 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 98374 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 17

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

EAR, NOSE, THROAT & ALLERGY ASSOICATIES PS
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-8454
EAR,NOSE,THROAT & ALLERGY ASSOCIATES PS
Specialist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-8454
DR. TODD DWYER JONES M.D.
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
BENJAMIN WIBONELE MD
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
TIA C. MCDONALD AU.D., CCC-A
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
NOAH ARTHUR COPE
Audiologist
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000
PROLIANCE SURGEONS, INC., P.S.
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9712
VIVIAN MAE YU MD
Otolaryngology
104 27TH AVE SE
PUYALLUP, WA 98374
Pierce County (253) 770-9000

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 Randall Bennett's NPI number?

The NPI number for Randall Bennett is 1619907953. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Randall Bennett located?

Randall Bennett practices at 104 27th Ave SE, Puyallup, WA 98374. The listed phone number is (253) 770-9000.

What is Randall Bennett's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Randall Bennett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Randall Bennett was last updated on October 20, 2015. 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.