JASON A. BENNETT (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1386755809
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
960 PATHOLOGY in FL
Provider Addresses for JASON A. BENNETT (MD)
601 Main St
Dunedin, FL 346985848
Phone: (727) 734-6635
Fax: (727) 734-6630
Type: Location
1514 Jefferson Hwy
New Orleans, LA 701212429
Phone: (504) 842-4000
Type: Location
122 12th St
Princeton, WV 24740
Phone: (304) 487-7349
Type: Location
119 Oakfield Dr
Brandon, FL 335115779
Phone: (813) 571-5193
Fax: (813) 571-5169
Type: Location
118, 12th Street Extension, Princeton, Mercer County, West Virginia, 24740, United States
PRINCETON, WV 247403246
Phone: (304) 431-5168
Type: Mailing
12th Street, Princeton, Collin County, Texas, 75407, United States
PRINCETON, WV 24740
Phone: (304) 487-7349
Type: Location
PO BOX 741087
ATLANTA, GA 303741087
Phone: (813) 571-5193
Type: Mailing
119 OAKFIELD DR
BRANDON, FL 335115779
Phone: (813) 571-5193
Fax: (813) 571-5169
Type: Location
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 841121100
Phone: (801) 581-2121
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $56.
Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($56).
Total Amount
$56
General + Research + Ownership
Payments
3
Total payment records
General Amount
$56
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $56 |
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: 2024-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220504001490 | I | Pathology | FL | TBD |
| I20240116001664 | I | Pathology | UT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34698)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | LA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 39 | 39 |
| PATHOLOGY | LA | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 91 | 62 |
| PATHOLOGY | LA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 35 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | FL | |
| - | GA | |
| P A T H O L O G Y | NJ | |
| P A T H O L O G Y | MI | |
| P A T H O L O G Y | FL | |
| P A T H O L O G Y | WA | |
| P A T H O L O G Y | FL | |
| - | GA |
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