TODD DAVID BENGTSON (MD) – Vascular Surgery Physician, NPI 1912970773
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
492 VASCULAR SURGERY in TX
Provider Addresses for TODD DAVID BENGTSON (MD)
115 Airport Rd
Sulphur Springs, TX 754822105
Phone: (903) 885-7671
Type: Location
619 S Fleishel Ave Ste 327
Tyler, TX 757012019
Phone: (903) 606-1400
Type: Location
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752846098
Phone: (903) 324-6450
Type: Mailing
619, South Fleishel Avenue, Tyler, Smith County, Texas, 75701, United States
STE 203
TYLER, TX 757012004
Phone: (903) 525-1400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $6,409.
Total Amount is formed as General ($6,409) + Research ($0) + Ownership ($0) = $6,409.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($1,649).
Total Amount
$6,409
General + Research + Ownership
Payments
127
Total payment records
General Amount
$6,409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $1,649 |
| Penumbra, Inc. | $1,259 |
| Inari Medical, Inc. | $692 |
| ShockWave Medical, Inc | $547 |
| Endologix LLC | $330 |
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: 2004-08-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040811000943 | I | Vascular Surgery | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 395 | 319 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 262 | 225 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 230 | 216 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 195 | 195 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 87 | 77 | $0 |
Insurance plans in this area (ZIP 75482)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
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