BETTY BENCOSME (PAT) – Physician Assistant, NPI 1366844995

BETTY BENCOSME (PAT) is a healthcare provider. based in Kissimmee, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAT. They hold a License No. PAT9108277 (FL). The NPI Number for BETTY BENCOSME (PAT) is 1366844995

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
BETTY BENCOSME (PAT)
NPI
1366844995
Phone
(407) 944-0999
Address
3276 GREENWALD WAY N
Enumeration Date
26 September 2014
Last Update Date
26 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
40794409991310
Graduation Year
2014 (12 years ago)
PAC ID
3072734045
Group Practice PAC ID
7315955184
Professional Enrollment ID
I20141016002366
Address ID
FL347410728KI3276XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for BETTY BENCOSME (PAT)

  • 3276 GREENWALD WAY N

    KISSIMMEE, FL 347410728

    Phone: (407) 944-0999

    Fax: (407) 935-0691

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $3,344.

Total Amount is formed as General ($3,344) + Research ($0) + Ownership ($0) = $3,344.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Janssen Biotech, Inc. ($827).

Total Amount

$3,344

General + Research + Ownership

Payments

149

Total payment records

General Amount

$3,344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141016002366IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths806126$0
11102Biopsy of related skin growth, first growth291193$0
17000Destruction of precancer skin growth, 1 growth282177$0
99212Established patient office or other outpatient visit, 10-19 minutes255176$0
11103Biopsy of related skin growth, each additional growth23397$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315955184View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does BETTY BENCOSME (PAT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BETTY BENCOSME (PAT) uses 1366844995.
Does CMS list BETTY BENCOSME (PAT) as active?
Yes — BETTY BENCOSME (PAT) is active in the NPI listing used on this page.
What is BETTY BENCOSME (PAT)'s specialty?
The listing groups BETTY BENCOSME (PAT) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect BETTY BENCOSME (PAT) on a map?
Expect Kissimmee, Florida as a primary anchor for BETTY BENCOSME (PAT) unless the record lists multiple sites.
Why does BETTY BENCOSME (PAT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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