MR. JOHN D BENTON LCSW
NPI 1639358039
Social Worker - Clinical in Machesney Park, IL

Active since November 01, 2007PECOS EnrolledAccepts Medicare Assignment
9308 BALDWIN DR, MACHESNEY PARK, IL 61115(779) 537-4631 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. John D Benton Lcsw NPPES

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

MR. JOHN D BENTON LCSW (NPI 1639358039) is an individual clinical provider in Machesney Park, Illinois, licensed in Illinois (149.012605) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1639358039
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOHN D BENTONCredential: LCSW
Location Address9308 BALDWIN DRMachesney Park, IL 61115-1720
Mailing Address9308 Baldwin DrMachesney Park, IL 61115-1720 · (779) 537-4631
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 1, 2007
Last NPPES UpdateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1639358039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.012605
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
9308 BALDWIN DR, Machesney Park, IL 61115

Accepted 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

Mr. John D Benton Lcsw 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 ID3072679729
PECOS Enrollment IDI20090304000235
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 Reassignments

4

Medicare enrollment records show John Benton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2704 N MAIN ST
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 45 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Illinois enrollment
  • 107 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Illinois enrollment
  • 581 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61115 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
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 John Benton's NPI number?

The NPI number for John Benton is 1639358039. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is John Benton located?

John Benton practices at 9308 Baldwin Dr, Machesney Park, IL 61115. The listed phone number is (779) 537-4631.

What is John Benton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Benton enrolled in Medicare?

Yes. John Benton 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.

Which organizations bill Medicare for John Benton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Benton reassigns Medicare benefits to 4 organizations: Rosecrance Inc (Rockford, IL), Richard Kneip, Ph.D., P.C. (Clarkston, MI), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Benton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Benton accept?

Health plans from Oscar Health and Quartz list John Benton 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 John Benton was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.