RENEE MARIE BETANCOURT (M.D.) – Family Medicine Physician, NPI 1104111830

RENEE MARIE BETANCOURT (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD455600 (PA). The NPI Number for RENEE MARIE BETANCOURT (M.D.) is 1104111830

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
RENEE MARIE BETANCOURT (M.D.)
NPI
1104111830
Phone
(215) 662-8949
Address
51 N 39TH ST
Enumeration Date
10 June 2011
Last Update Date
17 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2156629990
Graduation Year
2011 (15 years ago)
PAC ID
5890926414
Group Practice PAC ID
2062326507
Professional Enrollment ID
I20150902001466
Address ID
PA191042640PH3801XSTXX311
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for RENEE MARIE BETANCOURT (M.D.)

  • 51 N 39TH ST

    7TH FLR MUTCH BUILDING

    PHILADELPHIA, PA 191042640

    Phone: (215) 662-8949

    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)

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: 2015-09-02

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
I20150902001466IFamily PracticePATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2523$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 2062326507View full group profile
NameSpecialtyState
Family PracticePA
Family PracticePA
Internal MedicinePA
Internal MedicineMA
Family PracticePA
Family PracticeOH
Internal MedicineRI
Family PracticePA
Hospitalist, Internal MedicinePA
Family PracticePA

Reviews

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Frequently asked questions

What is the 10-digit NPI for RENEE MARIE BETANCOURT (M.D.)?
RENEE MARIE BETANCOURT (M.D.) — NPI 1104111830 — is the standard way to identify this listing.
Does the file indicate RENEE MARIE BETANCOURT (M.D.) is practicing under active NPI?
Directory data currently reports RENEE MARIE BETANCOURT (M.D.) as active.
What is RENEE MARIE BETANCOURT (M.D.)'s specialty?
The listing groups RENEE MARIE BETANCOURT (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does RENEE MARIE BETANCOURT (M.D.) list a practice location?
Patients near Philadelphia, Pennsylvania may find RENEE MARIE BETANCOURT (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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