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

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: November 01, 2026.

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

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
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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Bernard Bennett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
661 W 1ST ST, STE. G
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 86 clinicians in this Medicare group
Internal Medicine
22712 COTTONWOOD
Mission Viejo, CA 92692
  • Reassigned Medicare billing, California enrollment
Federally Qualified Health Center (FQHC)
25500 RANCHO NIGUEL RD STE 250
Laguna Niguel, CA 92677
  • Reassigned Medicare billing, California enrollment
  • 41 clinicians in this Medicare group
Hospitalist
1510 4TH STREET, SUITE 1
Berkely, CA 94710
  • Reassigned Medicare billing, California enrollment
  • 35 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.

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.

Nurse Practitioner (Women's Health)
661 W 1ST ST STE G
TUSTIN, CA 92780
Physician Assistant
661 W 1ST ST STE G
TUSTIN, CA 92780
Nurse Practitioner (Family)
661 W 1ST ST STE G
TUSTIN, CA 92780
Obstetrics & Gynecology
661 W 1ST ST STE G
TUSTIN, CA 92780
Physician Assistant
661 W 1ST ST STE G
TUSTIN, CA 92780
Nurse Practitioner (Family)
661 W 1ST ST STE G
TUSTIN, CA 92780
Clinic/Center (Primary Care)
661 W 1ST ST STE G
TUSTIN, CA 92780
Nurse Practitioner
661 W 1ST ST STE G
TUSTIN, CA 92780

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 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.

Where is Bernard Bennett located?

Bernard Bennett practices at 661 W 1st St Ste G, Tustin, CA 92780. The listed phone number is (714) 665-9890.

What is Bernard Bennett's specialty?

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

Is Bernard Bennett enrolled in Medicare?

Yes. Bernard 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.

Which organizations bill Medicare for Bernard Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernard Bennett reassigns Medicare benefits to 4 organizations: Families Together Of Orange County (Tustin, CA), Independence Health PC (Mission Viejo, CA), All For Health Health For All Inc (Laguna Niguel, CA) and Inpatient Consultants Of California, Inc. (Berkely, CA). 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 Bernard Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.