DR. LAWRENCE NORTHWOOD BENNETT (MD) – Diagnostic Radiology Physician, NPI 1053302547
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. LAWRENCE NORTHWOOD BENNETT (MD)
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1501
Type: Mailing
3417, Ensign Road Northeast, Olympia, Thurston County, Washington, 98506, United States
OLYMPIA, WA 985065075
Phone: (360) 493-4600
Fax: (360) 493-4603
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: 2004-12-28
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 |
|---|---|---|---|---|
| I20041228000151 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 381 | 381 | $0 |
| 77063 | Screening 3d breast mammography | 380 | 380 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 102 | 102 | $0 |
| 71046 | X-ray of chest, 2 views | 94 | 94 | $0 |
| 71045 | X-ray of chest, 1 view | 75 | 73 | $0 |
Insurance plans in this area (ZIP 98036)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71010 | X-ray of chest, 1 view, front | 321 | 294 |
| DIAGNOSTIC RADIOLOGY | WA | 71250 | CT scan chest | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | WA | 73630 | X-ray of foot, minimum of 3 views | 23 | 22 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 100 | 99 |
| DIAGNOSTIC RADIOLOGY | WA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 46 | 46 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | WA | |
| Nuclear Medicine, Diagnostic Radiology | WA | |
| Diagnostic Radiology, Interventional Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology, Family Practice | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology, Interventional Radiology | WA | |
| Diagnostic Radiology | WA |
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