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BERNICE LOUISE ROBINSON-BENNETT M.D.
NPI 1851453112
Obstetrics & Gynecology - Gynecologic Oncology in West Reading, PA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
74.62/100
CMS Quality Rating
420 S 5TH AVE, N BLDG GROUND FLOOR, WEST READING, PA 19611(484) 628-8905(484) 628-5189 Get Directions Write a Review

NPPES record last updated: November 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bernice Louise Robinson-bennett M.d. NPPES

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

BERNICE LOUISE ROBINSON-BENNETT M.D. (NPI 1851453112) is an individual gynecologic oncology provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD434857) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1851453112
Entity TypeIndividualFemale
Primary Taxonomy207VX0201X
Provider Legal NameBERNICE LOUISE ROBINSON-BENNETTCredential: M.D.
Location Address420 S 5TH AVE, N BLDG GROUND FLOORWest Reading, PA 19611-2143
Mailing AddressPo Box 13579Reading, PA 19612-3579
Phone(484) 628-8905
Fax(484) 628-5189
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000
Enumeration DateDecember 14, 2006
Last NPPES UpdateNovember 25, 2016
✔ NPI 1851453112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in PA · MD434857
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License L9454 (TX)
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License L9454 (TX), MD434857 (PA)
420 S 5TH AVE, West Reading, PA 19611
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Other Identifiers 4

Medicare PIN146076PA
Medicaid167902901TX
Medicare UPINI17369TX
Medicaid102221442PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Bernice Louise Robinson-bennett 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 ID7810956877
PECOS Enrollment IDI20081022000355
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 3

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.
220 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability96
Improvement Activities40
Cost11.91

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
31%150 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TOLUWANIMI OGBONMIDE
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-8000
URVASHI SARKAR
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-8000
MADISON HECK
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-8000
NEIL HOFFMAN M.D.
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-8615
MS. LANE ROSCOE PA- C
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Berks County (610) 568-3637
ALICE LEE DO
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-4879
KYLE ROMPALA
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Berks County (267) 280-7615
MATTHEW CRYER
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Berks County (484) 628-1324

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 Bernice Robinson-bennett's NPI number?

The NPI number for Bernice Robinson-bennett is 1851453112. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Bernice Robinson-bennett located?

Bernice Robinson-bennett practices at 420 S 5th Ave N Bldg Ground Floor, West Reading, PA 19611. The listed phone number is (484) 628-8905.

What is Bernice Robinson-bennett's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Bernice Robinson-bennett enrolled in Medicare?

Yes. Bernice Robinson-bennett 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 Bernice Robinson-bennett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Bernice Robinson-bennett 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 Bernice Robinson-bennett affiliated with any hospitals?

According to CMS data, Bernice Robinson-bennett is affiliated with Reading Hospital, Penn State Health St. Joseph, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Bernice Robinson-bennett was last updated on November 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.