MARK KENNETH BENNETT (PA-C) – Physician Assistant, NPI 1871859223
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,972 PHYSICIAN ASSISTANT in UT
Provider Addresses for MARK KENNETH BENNETT (PA-C)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 387-7450
Type: Mailing
4403 HARRISON BLVD STE 2600
OGDEN, UT 844033277
Phone: (801) 387-7450
Fax: (801) 387-7130
Type: Location
PO BOX 5546
DENVER, CO 802175546
Phone: (801) 475-3481
Type: Mailing
4403 HARRISON BLVD
SUITE 1815
OGDEN, UT 844033339
Phone: (801) 387-6520
Fax: (801) 387-6525
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Cerapedics Inc. ($167).
Total Amount
$218
General + Research + Ownership
Payments
3
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cerapedics Inc. | $167 |
| Boston Scientific Corporation | $26 |
| Abbott Laboratories | $25 |
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: 2012-04-20
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 |
|---|---|---|---|---|
| I20120420000092 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 25 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 30 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | 13 | 13 | $0 |
Insurance plans in this area (ZIP 84127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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