RODERICK NEAL BENNETT (MD) – Emergency Medicine Physician, NPI 1629166137

RODERICK NEAL BENNETT (MD) is a healthcare provider. based in Daytona beach, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. ME98577 (FL). The NPI Number for RODERICK NEAL BENNETT (MD) is 1629166137

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
RODERICK NEAL BENNETT (MD)
NPI
1629166137
Phone
(386) 254-4000
Address
303 N CLYDE MORRIS BLVD
Enumeration Date
10 October 2006
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3526888200
Graduation Year
2003 (23 years ago)
PAC ID
8729002233
Group Practice PAC ID
9931489473
Professional Enrollment ID
I20070917000038
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for RODERICK NEAL BENNETT (MD)

  • Halifax Health Medical Center, 303, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321142709

    Phone: (386) 254-4000

    Type: Mailing

  • PO BOX 8432

    TAMPA, FL 336748432

    Phone: (813) 819-3669

    Type: Mailing

  • 15010 LONGS LN

    PUNTA GORDA, FL 339822700

    Phone: (813) 819-3669

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: ABBVIE INC. ($110).

Total Amount

$110

General + Research + Ownership

Payments

1

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$110
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: 2013-07-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070917000038IEmergency MedicineFLTBD
I20130705000334IEmergency MedicineALTBD

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
99285Emergency department visit with high level of medical decision making199195$0
99284Emergency department visit with moderate level of medical decision making167165$0
71046X-ray of chest, 2 views7773$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7774$0
99291Critical care, first 30-74 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 32114)

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Provider's Procedures

RODERICK NEAL BENNETT (MD) performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report103103

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: 9931489473View full group profile

Reviews

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Frequently asked questions

What NPI should I save for RODERICK NEAL BENNETT (MD)?
Save NPI 1629166137 if you need a stable reference for RODERICK NEAL BENNETT (MD).
Is RODERICK NEAL BENNETT (MD) active in the national directory?
RODERICK NEAL BENNETT (MD)'s public NPI profile is in an active state.
What field does RODERICK NEAL BENNETT (MD) work in?
You can think of RODERICK NEAL BENNETT (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place RODERICK NEAL BENNETT (MD)?
The snapshot lists Daytona Beach, Florida for RODERICK NEAL BENNETT (MD); download NPPES for the complete set.
What if Daytona Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.