PHILIP L BENE MD
NPI 1730686221
Hospitalist in Burien, WA

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
16251 SYLVESTER RD SW, BURIEN, WA 98166(253) 426-6341(253) 426-6344 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2021, Apr 10, 2018 (2 updates tracked since 2018).

About Philip L Bene Md NPPES

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

PHILIP L BENE MD (NPI 1730686221) is an individual hospitalist provider in Burien, Washington, licensed in Washington (MD61187288) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Highline Medical Center, and is a graduate of Morehouse School Of Medicine (2018).

NPPES Registry Identity

NPI1730686221
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePHILIP L BENECredential: MD
Location Address16251 SYLVESTER RD SWBurien, WA 98166-3017
Mailing Address16251 Sylvester Rd SwBurien, WA 98166-3017 · (253) 426-6341 · Fax (253) 426-6344
Fax(253) 426-6344
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration
NPPES CertifiedNovember 24, 2021
NPI 1730686221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WA · MD61187288
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD61187288 (WA)
16251 SYLVESTER RD SW, Burien, WA 98166

Other Identifiers 1

Medicaid2190907WA

Accepted 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

Philip L Bene Md 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 ID3173912367
PECOS Enrollment IDI20211109002033
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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
96 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services37 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
33 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Highline Medical Center

Acute Care Hospitals · Burien, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500011
Location16251 Sylvester Road SWBurien, WA 98166 · King County
Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500141
Location34515 9th Avenue SFederal Way, WA 98003 · King County
Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500151
Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98166 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166
Anesthesiology
16251 SYLVESTER RD SW
BURIEN, WA 98166
Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166
Psychiatry & Neurology (Psychiatry)
16251 SYLVESTER RD SW
BURIEN, WA 98166
Anesthesiology
16251 SYLVESTER RD SW
BURIEN, WA 98166
Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166
Nurse Practitioner (Gerontology)
16251 SYLVESTER RD SW
BURIEN, WA 98166
Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166

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 Philip Bene's NPI number?

The NPI number for Philip Bene is 1730686221. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Philip Bene located?

Philip Bene practices at 16251 Sylvester Rd SW, Burien, WA 98166. The listed phone number is (253) 426-6341.

What is Philip Bene's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Philip Bene enrolled in Medicare?

Yes. Philip Bene 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 Philip Bene accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Philip Bene 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 Philip Bene affiliated with any hospitals?

According to CMS data, Philip Bene is affiliated with Highline Medical Center, St Francis Community Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Philip Bene was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.