DR. KERRY G. BENNETT (MD, MPH) – Surgery Physician, NPI 1669471678

DR. KERRY G. BENNETT (MD, MPH) is a healthcare provider. based in Worcester, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials MD, MPH. They hold a License No. 161131 (MA). The NPI Number for DR. KERRY G. BENNETT (MD, MPH) is 1669471678

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KERRY G. BENNETT (MD, MPH)
NPI
1669471678
Phone
(508) 368-3190
Address
123 SUMMER ST
Enumeration Date
20 July 2005
Last Update Date
18 February 2016

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5083635000
Graduation Year
1993 (33 years ago)
PAC ID
2163313800
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20040323000485
Address ID
MA016081216WO123XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

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Provider Addresses for DR. KERRY G. BENNETT (MD, MPH)

  • Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States

    SUITE 210

    WORCESTER, MA 016081216

    Phone: (508) 368-3190

    Fax: (508) 368-3193

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $1,071.

Total Amount is formed as General ($1,071) + Research ($0) + Ownership ($0) = $1,071.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($571).

Total Amount

$1,071

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,071

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-23

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
I20040323000485IGeneral SurgeryMATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes2522$0
19301Partial removal of breast2423$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or2420$0
38525Biopsy or removal of deep lymph nodes of underarm1919$0
99214Established patient office or other outpatient visit, 30-39 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 01608)

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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: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

Where can patients find DR. KERRY G. BENNETT (MD, MPH)'s NPI?
You can confirm DR. KERRY G. BENNETT (MD, MPH) with NPI 1669471678; it appears in the national provider directory.
Is DR. KERRY G. BENNETT (MD, MPH)'s NPI currently valid?
The extract we use shows DR. KERRY G. BENNETT (MD, MPH) as active.
Can you summarize DR. KERRY G. BENNETT (MD, MPH)'s specialty in plain language?
Clinically, the directory lists DR. KERRY G. BENNETT (MD, MPH) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KERRY G. BENNETT (MD, MPH)?
The snapshot lists Worcester, Massachusetts for DR. KERRY G. BENNETT (MD, MPH); download NPPES for the complete set.
How can I contact DR. KERRY G. BENNETT (MD, MPH)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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