DR. LORI BETH BENNETT (M.D./PH.D.) – Psychiatry Physician, NPI 1093007304
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
129 PSYCHIATRY in ID
Provider Addresses for DR. LORI BETH BENNETT (M.D./PH.D.)
190 E BANNOCK ST
BOISE, ID 837126241
Phone: (208) 381-8752
Type: Mailing
301 DEINHARD LN
MCCALL, ID 836384703
Phone: (208) 630-2450
Fax: (208) 634-4055
Type: Location
276 5TH AVE
STE 307A
NEW YORK, NY 100014509
Phone: (215) 200-5110
Type: Mailing
415 6TH ST
LEWISTON, ID 835012434
Phone: (208) 750-7445
Type: Location
415 6th St
Lewiston, ID 835012434
Phone: (208) 750-7445
Type: Location
276 5th Ave
Ste 307A
New York, NY 100014509
Phone: (215) 200-5110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20130801000625 | I | Psychiatry | NY | TBD |
| I20190829004364 | I | Psychiatry | ID | TBD |
| I20200409001799 | I | Psychiatry | MI | TBD |
| I20200708003103 | I | Psychiatry | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 208 | 31 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 24 | 23 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 83712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Clinical Social Worker | ID | |
| - | ID | |
| - | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | CA | |
| P S Y C H I A T R Y | ID | |
| - | ID | |
| - | ID | |
| - | ID |
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