CHARLES E. BENNEYWORTH (M.D.) – Emergency Medicine Physician, NPI 1972577310
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHARLES E. BENNEYWORTH (M.D.)
1606, Ridgeside Avenue, Bowling Green, Warren County, Kentucky, 42104, United States
BOWLING GREEN, KY 421049577
Phone: (270) 796-5179
Fax: (270) 622-2209
Type: Mailing
The Medical Center at Bowling Green, 250, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011760
Phone: (270) 745-1626
Fax: (270) 842-8722
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: 2008-01-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (925 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20080125000222 | I | Emergency Medicine | KY | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 117 | 108 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 74 | 69 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 50 | 47 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 19 | 19 | $0 |
Insurance plans in this area (ZIP 42104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | KY | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 107 | 96 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | WV | |
| - | AR | |
| Emergency Medicine | MA | |
| - | TN | |
| - | KY | |
| Emergency Medicine, Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | TX | |
| Family Practice, Emergency Medicine | AR |
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