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

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: November 01, 2026.

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

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
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

Secondary Practice Location 1

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

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

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.

Medicare Billing Reassignments

14

Medicare enrollment records show Scott Bennion reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Critical Access
1280 CHANDLER DR
Spooner, WI 54801
  • Reassigned Medicare billing, Wisconsin enrollment
  • 62 clinicians in this Medicare group
Urgent Care
5570 STATE ST
Saginaw, MI 48603
  • Reassigned Medicare billing, Michigan enrollment
  • 720 clinicians in this Medicare group
Emergency Medicine
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 277 clinicians in this Medicare group
Emergency Medicine
1808 SHERMAN DR
Princeton, IN 47670
  • Reassigned Medicare billing, Indiana enrollment
  • 38 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.

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.

Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935

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 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.

Where is Scott Bennion located?

Scott Bennion practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-4600.

What is Scott Bennion's specialty?

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

Is Scott Bennion enrolled in Medicare?

Yes. Scott Bennion 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 Scott Bennion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Bennion reassigns Medicare benefits to 14 organizations: Beaver Dam Community Hospitals Inc (Waupun, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI), Flambeau Hospital Inc (Park Falls, WI) and 9 more organizations, listed in the Medicare section above. 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 Scott Bennion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Bennion accept?

Health plans from CareSource list Scott Bennion 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 Scott Bennion affiliated with any hospitals?

According to CMS data, Scott Bennion is affiliated with Gibson General Hospital, North Memorial Health Hospital and Spooner Health System.

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.