DR. ANDREW III BENNETT (M.D.) – Diagnostic Radiology Physician, NPI 1114084878

DR. ANDREW III BENNETT (M.D.) is a healthcare provider. based in Cleveland, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.090051 (OH). The NPI Number for DR. ANDREW III BENNETT (M.D.) is 1114084878

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW III BENNETT (M.D.)
NPI
1114084878
Phone
(216) 831-9786
Address
4853 GALAXY PKWY
Enumeration Date
2 January 2007
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7607701920
Graduation Year
2001 (25 years ago)
PAC ID
7618079088
Group Practice PAC ID
6406749613
Professional Enrollment ID
I20240227001778
Address ID
CA922701740RA35800DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for DR. ANDREW III BENNETT (M.D.)

  • 4853 GALAXY PKWY

    SUITE I

    CLEVELAND, OH 441285973

    Phone: (216) 831-9786

    Fax: (216) 831-2425

    Type: Location

  • 4853 Galaxy Pkwy

    Suite I

    Cleveland, OH 441285973

    Phone: (216) 831-9786

    Fax: (216) 831-2425

    Type: Location

  • 8750 WILSHIRE BLVD STE 100

    BEVERLY HILLS, CA 902112708

    Phone: (310) 689-3100

    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: 2024-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20070305000139IInterventional RadiologyILTBD
I20070803000602IDiagnostic RadiologyOHTBD
I20090611000621IDiagnostic RadiologyAZTBD
I20190628002993IDiagnostic RadiologyFLTBD
I20221130001371IInterventional RadiologyMETBD
I20240227001778IDiagnostic RadiologyCATBD

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
71045X-ray of chest, 1 view166155$0
70450Ct scan head or brain without contrast7474$0
71046X-ray of chest, 2 views5353$0
74177Ct scan of abdomen and pelvis with contrast3939$0
71275Ct scan of blood vessels of chest with contrast3232$0
View full utilization report →

Insurance plans in this area (ZIP 44128)

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Provider's Procedures

DR. ANDREW III BENNETT (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOH36556Insertion of central venous catheter for infusion, patient 5 years or older3434
DIAGNOSTIC RADIOLOGYOH71010X-ray of chest, 1 view, front669579
DIAGNOSTIC RADIOLOGYOH73110X-ray of wrist, minimum of 3 views2422
DIAGNOSTIC RADIOLOGYOH73562X-ray of knee, 3 views6353
DIAGNOSTIC RADIOLOGYOH73630X-ray of foot, minimum of 3 views3430
DIAGNOSTIC RADIOLOGYOH74177CT scan of abdomen and pelvis with contrast6868
DIAGNOSTIC RADIOLOGYOH76830Ultrasound pelvis through vagina1212
DIAGNOSTIC RADIOLOGYOH76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3030
DIAGNOSTIC RADIOLOGYOH77012Radiological supervision and interpretation of CT guidance for needle insertion6463

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: 6406749613View full group profile
NameSpecialtyState
Vascular Surgery, Cardiovascular Disease (Cardiology)CA
Diagnostic RadiologyCT
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCO
-CA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

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Frequently asked questions

Where can patients find DR. ANDREW III BENNETT (M.D.)'s NPI?
You can confirm DR. ANDREW III BENNETT (M.D.) with NPI 1114084878; it appears in the national provider directory.
Is DR. ANDREW III BENNETT (M.D.) active in the national directory?
DR. ANDREW III BENNETT (M.D.)'s public NPI profile is in an active state.
Does DR. ANDREW III BENNETT (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. ANDREW III BENNETT (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. ANDREW III BENNETT (M.D.)?
We surface Cleveland, Ohio for DR. ANDREW III BENNETT (M.D.) based on available NPPES addresses.
How can I contact DR. ANDREW III BENNETT (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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