DR. REID ROBERTS BENNETT (MD) – Anesthesiology Physician, NPI 1033504261

DR. REID ROBERTS BENNETT (MD) is a healthcare provider. based in Vancouver, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD60926124 (WA). The NPI Number for DR. REID ROBERTS BENNETT (MD) is 1033504261

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. REID ROBERTS BENNETT (MD)
NPI
1033504261
Phone
(363) 828-5396
Address
505 NE 87TH AVE STE 210
Enumeration Date
3 April 2015
Last Update Date
8 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2532741668
Graduation Year
2015 (11 years ago)
PAC ID
5890003636
Group Practice PAC ID
8426954322
Professional Enrollment ID
I20190708001890
Address ID
WA984054234TA315XXWAYX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,514 ANESTHESIOLOGY in WA

Provider Addresses for DR. REID ROBERTS BENNETT (MD)

  • 505 NE 87TH AVE STE 210

    VANCOUVER, WA 98664

    Phone: (363) 828-5396

    Type: Location

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-8211

    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: 2019-07-08

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
I20190708001890IAnesthesiologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98664)

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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: 8426954322View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWA
-WA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
-WI
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
-WA

Reviews

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Frequently asked questions

How do I look up DR. REID ROBERTS BENNETT (MD) by NPI?
Use NPI 1033504261 when you need to reference DR. REID ROBERTS BENNETT (MD) in forms, claims, or directories.
Is DR. REID ROBERTS BENNETT (MD)'s NPI currently valid?
The extract we use shows DR. REID ROBERTS BENNETT (MD) as active.
What kind of provider is DR. REID ROBERTS BENNETT (MD)?
The page reflects Anesthesiology Physician for DR. REID ROBERTS BENNETT (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. REID ROBERTS BENNETT (MD)?
The snapshot lists Vancouver, Washington for DR. REID ROBERTS BENNETT (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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