DR. SHANNON K BENTLEY (M.D.) – Family Medicine Physician, NPI 1033179817
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
Provider Addresses for DR. SHANNON K BENTLEY (M.D.)
413, South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States
ST ELIZABETH FAMILY PRACTICE CENTER
EDGEWOOD, KY 410175446
Phone: (859) 301-3800
Fax: (859) 301-3987
Type: Mailing
413 SOUTH LOOP ROAD
ST ELIZABETH FAMILY PRACTICE CENTER
EDGEWOOD, KY 410175446
Phone: (859) 301-3800
Fax: (859) 301-3987
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $126.
Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($33).
Total Amount
$126
General + Research + Ownership
Payments
6
Total payment records
General Amount
$126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-01-20
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 |
|---|---|---|---|---|
| I20060123000481 | I | Family Practice | WV | TBD |
| I20170120002655 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 362 | 261 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 218 | 181 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 121 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 110 | 110 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 99 | 86 | $0 |
Insurance plans in this area (ZIP 41017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | PA | |
| - | WV |
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