BERNARD LEROY BENNETT MD
NPI 1871568899
Internal Medicine in Tustin, CA

Q: What is Bernard Bennett's NPI number?

The NPI number for Bernard Bennett is 1871568899. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Q: What is Bernard Bennett's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Bernard Bennett was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 22, 2006PECOS EnrolledAccepts Medicare Assignment

661 W 1ST ST STE G, TUSTIN, CA 92780(714) 665-9890(714) 665-9891 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Mar 8, 2024 (2 updates tracked since 2024).

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About Bernard Leroy Bennett Md NPPES

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

BERNARD LEROY BENNETT MD (NPI 1871568899) is an individual internal medicine provider in Tustin, California, licensed in California (C42114) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Meharry Medical College School Of Medicine (1980).

NPPES Registry Identity

NPI1871568899

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBERNARD LEROY BENNETTCredential: MD

Location Address661 W 1ST ST STE GTustin, CA 92780-2939

Mailing Address661 W 1st St Ste GTustin, CA 92780-2939 · (714) 665-9890 · Fax (714) 665-9891

Phone(714) 665-9890

Fax(714) 665-9891

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 1980

Enumeration DateFebruary 22, 2006

Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1871568899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · C42114

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

661 W 1ST ST STE G, Tustin, CA 92780

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Secondary Practice Locations 3

Location 121034 Pacific Coast Hwy # 2Huntington Beach, CA 92648-5335 · Phone (888) 663-6331 · Fax (510) 525-8982

Location 29918 Katella Ave Ste A-CAnaheim, CA 92804-6465 · Phone (714) 644-9494 · Fax (714) 644-9894

Location 311180 Warner Ave Ste 353Fountain Valley, CA 92708-7516 · Phone (714) 968-6789 · Fax (714) 202-2626

Other Identifiers 6

OtherDO0034NC · Medicare Railroad

OtherDA5493NC · Medicare Railroad

OtherP00651283NC · Medicare Railroad

OtherP00062870NC · Medicare Railroad

Other1028PNC · Blue Cross

Medicaid891028PNC

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

Bernard Leroy Bennett 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 ID6507754835

PECOS Enrollment IDI20151012001018

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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…

100%192 patients5/55-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.

NICOLE ROLLE NOCHE NP

Nurse Practitioner (Women's Health)