SALLY S BENNETT (PA-C) – Medical Physician Assistant, NPI 1700855087
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,648 PHYSICIAN ASSISTANT in IA
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Provider Addresses for SALLY S BENNETT (PA-C)
Des Moines Post Office, 1165, 2nd Avenue, Des Moines, Polk County, Iowa, 50318, United States
DES MOINES, IA 503051475
Phone: (515) 643-2400
Fax: (515) 643-4766
Type: Mailing
Mercy East Clinic, 5900, East University Avenue, Pleasant Hill, Polk County, Iowa, 50327, United States
SUITE 100
PLEASANT HILL, IA 503278466
Phone: (515) 643-2400
Fax: (515) 643-4766
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 $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Dexcom, Inc. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $28 |
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: 2005-05-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050511000337 | I | Physician Assistant | IA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 342 | 275 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 259 | 155 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 155 | 117 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 144 | 119 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 101 | 101 | $0 |
Insurance plans in this area (ZIP 50305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | IA | |
| P S Y C H I A T R Y | IA | |
| - | IA | |
| Family Practice | IA | |
| - | NE | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Nurse Practitioner | IA |
Reviews
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