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JASON L. VANBENNEKOM M.D.
NPI 1720040983
Obstetrics & Gynecology in Ponte Vedra, FL

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
400 COLONNADE DR STE 230, PONTE VEDRA, FL 32081(904) 640-8249(904) 640-8250 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Nov 3, 2022, Oct 12, 2022 and 1 more (4 updates tracked since 2019).

About Jason L. Vanbennekom M.d. NPPES

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

JASON L. VANBENNEKOM M.D. (NPI 1720040983) is an individual obstetrics & gynecology provider in Ponte Vedra, Florida, licensed in Florida (ME93647) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1720040983
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJASON L. VANBENNEKOMCredential: M.D.
Location Address400 COLONNADE DR STE 230Ponte Vedra, FL 32081-6237
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Phone(904) 640-8249
Fax(904) 640-8250
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1992
Enumeration DateApril 4, 2006
Last NPPES UpdateJune 23, 20234 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1720040983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME93647
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
400 COLONNADE DR STE 230, Ponte Vedra, FL 32081
Open in Google Maps ↗

Secondary Practice Location 1

Location 114546 Old Saint Augustine Rd Ste 305&311Jacksonville, FL 32258-5468 · Phone (904) 260-2255 · Fax (904) 260-2251

Other Identifiers 1

Medicaid273136300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Jason L. Vanbennekom 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 ID4789616525
PECOS Enrollment IDI20050906000510
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 7

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 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.
80 services67 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
71 services71 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
36 services31 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
27 services25 patients
Wet mounts, including preparations of vaginal, cervical or skin specimens Q0111
Wet mounts are lab tests that help analyze certain types of samples from your body. This could include samples from skin or other areas. The sample is placed on a glass slide and examined under a microscope to identify any potential issues. It's a simple, quick, and painless procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 20

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

MS. SHARON MARIE DESMARAIS MD
Obstetrics & Gynecology
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
MRS. CHRISTINE MONAHAN VENTRESCA LMHC
Counselor (Mental Health)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
DR. MEGAN LEANNE KRANTZ PHD
Psychologist (Clinical)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
TYRA JEAN GUNN APRN
Nurse Practitioner (Women's Health)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
DR. CHRISTINA STOUGH ADAMS MD
Obstetrics & Gynecology
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
ANDREW BROWN KING PHD
Psychologist (Clinical)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
LYERLY BAPTIST INC
Family Medicine (Obesity Medicine)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 202-1795
BRITTANY BUCHANAN KELLY APRN
Nurse Practitioner (Family)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249

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 Jason Vanbennekom's NPI number?

The NPI number for Jason Vanbennekom is 1720040983. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Jason Vanbennekom located?

Jason Vanbennekom practices at 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081. The listed phone number is (904) 640-8249.

What is Jason Vanbennekom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jason Vanbennekom enrolled in Medicare?

Yes. Jason Vanbennekom 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 Jason Vanbennekom accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jason Vanbennekom 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 Jason Vanbennekom affiliated with any hospitals?

According to CMS data, Jason Vanbennekom is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Jason Vanbennekom was last updated on June 23, 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.