JOHN DAVID BENNETT (D.P.M.) – Podiatrist, NPI 1124010889

JOHN DAVID BENNETT (D.P.M.) is a healthcare provider. based in Des moines, Iowa. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 00653 (IA). The NPI Number for JOHN DAVID BENNETT (D.P.M.) is 1124010889

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DAVID BENNETT (D.P.M.)
NPI
1124010889
Phone
(515) 271-1731
Address
3200 GRAND AVE
Enumeration Date
18 August 2005
Last Update Date
12 February 2020

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5152711707
Graduation Year
1995 (31 years ago)
PAC ID
8426184847
Group Practice PAC ID
6002713443
Professional Enrollment ID
I20100324001095
Address ID
IA503124104DE3200XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

216 PODIATRY in IA

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Provider Addresses for JOHN DAVID BENNETT (D.P.M.)

  • Des Moines University, 3200, Grand Avenue, Grand Oaks Condominiums, Des Moines, Polk County, Iowa, 50312, United States

    DES MOINES, IA 503124104

    Phone: (515) 271-1731

    Fax: (515) 271-1692

    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)

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: 2010-03-24

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
I20100324001095IPodiatryIATBD

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
11721Removal of fingernails or toenails, 6 or more nails22986$0
99213Established patient office or other outpatient visit, 20-29 minutes19169$0
29580Strapping, unna boot5712$0
73630X-ray of foot, minimum of 3 views4329$0
99203New patient office or other outpatient visit, 30-44 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 50312)

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Provider's Procedures

JOHN DAVID BENNETT (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIA11720Removal of tissue from 1 to 5 finger or toe nails2015
PODIATRYIA73630X-ray of foot, minimum of 3 views6738

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: 6002713443View full group profile
NameSpecialtyState
P O D I A T R YWA
-IA
-IA
Physical Therapist In Private PracticeIL
P O D I A T R YIA
Diagnostic RadiologyIA
Diagnostic RadiologyOK
Internal Medicine, Osteopathic Manipulative Medicine, Pediatric MedicineIA
-IA
P S Y C H I A T R YIA

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN DAVID BENNETT (D.P.M.)'s NPI?
Yes. JOHN DAVID BENNETT (D.P.M.) is listed with NPI 1124010889 in the public NPI dataset.
Does the file indicate JOHN DAVID BENNETT (D.P.M.) is practicing under active NPI?
Directory data currently reports JOHN DAVID BENNETT (D.P.M.) as active.
What taxonomy line describes JOHN DAVID BENNETT (D.P.M.)?
For research purposes, treat JOHN DAVID BENNETT (D.P.M.) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Does JOHN DAVID BENNETT (D.P.M.) list a practice location?
Patients near Des Moines, Iowa may find JOHN DAVID BENNETT (D.P.M.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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