SCOTT BLANTON BENNION DO
NPI 1720287394
Emergency Medicine in Fond Du Lac, WI

Q: What is Scott Bennion's NPI number?

The NPI number for Scott Bennion is 1720287394. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Scott Bennion's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Bennion was last updated on July 31, 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 July 13, 2007PECOS EnrolledAccepts Medicare Assignment

430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4600 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Mar 10, 2020 (2 updates tracked since 2020).

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About Scott Blanton Bennion Do NPPES

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

SCOTT BLANTON BENNION DO (NPI 1720287394) is an individual emergency medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (72678) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Gibson General Hospital, and maintains a secondary practice location in Stevens Point.

NPPES Registry Identity

NPI1720287394

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSCOTT BLANTON BENNIONCredential: DO

Location Address430 E DIVISION STFond Du Lac, WI 54935-4560

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8526 · Fax (920) 926-8370

Phone(920) 926-4600

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 13, 2007

Last NPPES UpdateJuly 31, 20232 updates tracked since enumeration

NPPES CertifiedJuly 31, 2023

✔ NPI 1720287394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WI · 72678✔ Licensed in GA · 073399✔ Licensed in MI · 5101017192

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

430 E DIVISION ST, Fond Du Lac, WI 54935

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Secondary Practice Location 1

Location 14100 State Highway 66Stevens Point, WI 54482-8410 · Phone (715) 343-7700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica, Sanford 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

Scott Blanton Bennion Do 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 ID9537346069

PECOS Enrollment IDI20201221002552

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

30 services30 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Gibson General Hospital

Critical Access Hospitals · Princeton, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151319

Location1808 Sherman DrPrinceton, IN 47670 · Gibson County

Emergency services

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240001

Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County

Emergency services Birthing friendly

Spooner Health System

Critical Access Hospitals · Spooner, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521332

Location1280 Chandler DrSpooner, WI 54801 · Washburn County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

CLAIRE ELIZABETH KRIZMAN

Counselor (Mental Health)