MRS. JENNIFER KOOIKER BENSON (MD) – Family Medicine Physician, NPI 1801899182
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for MRS. JENNIFER KOOIKER BENSON (MD)
1400 E KINCAID ST
MOUNT VERNON, WA 982744127
Phone:
Type: Mailing
110 N LAVENTURE RD STE C
MOUNT VERNON, WA 982733901
Phone: (360) 399-7700
Fax: (360) 899-4534
Type: Location
2116, East Section Street, Mount Vernon, Skagit County, Washington, 98274, United States
MOUNT VERNON, WA 982749124
Phone: (360) 428-1700
Fax: (360) 848-4350
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $8,135.
Total Amount is formed as General ($8,135) + Research ($0) + Ownership ($0) = $8,135.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Midmark Corporation ($8,034).
Total Amount
$8,135
General + Research + Ownership
Payments
5
Total payment records
General Amount
$8,135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Midmark Corporation | $8,034 |
| ABBVIE INC. | $102 |
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: 2005-04-04
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 |
|---|---|---|---|---|
| I20050404000913 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 294 | 259 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 57 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 40 | 40 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 98274)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 81002 | Urinalysis, manual test | 20 | 13 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | NY | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical Oncology | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| O T O L A R Y N G O L O G Y | WA | |
| Orthopedic Surgery | WA | |
| - | WA |
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