DR. BENTON PHILIP STEWART (DPM) – Podiatrist, NPI 1922629237

DR. BENTON PHILIP STEWART (DPM) is a healthcare provider. based in Olympia, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO61548080 (WA). The NPI Number for DR. BENTON PHILIP STEWART (DPM) is 1922629237

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENTON PHILIP STEWART (DPM)
NPI
1922629237
Phone
Not provided
Address
2514 ISLAND DR NW
Enumeration Date
28 April 2020
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7189725000
Graduation Year
2020 (6 years ago)
PAC ID
0345756797
Group Practice PAC ID
1951448711
Professional Enrollment ID
I20250722003118
Address ID
WA983358222GI3309XCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

360 PODIATRY in WA

Provider Addresses for DR. BENTON PHILIP STEWART (DPM)

  • 2514 ISLAND DR NW

    OLYMPIA, WA 985029749

    Phone:

    Type: Mailing

  • 2008 CATON WAY SW STE 203-B2

    OLYMPIA, WA 985022100

    Phone: (425) 842-3865

    Type: Location

  • 519 1ST ST

    KIRKLAND, WA 980336127

    Phone:

    Type: Mailing

  • 5645 MAIN ST

    FLUSHING, NY 113555045

    Phone: (718) 670-2712

    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: 2025-07-22

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
I20250722003118IPodiatryWATBD

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 98502)

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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: 1951448711View full group profile
NameSpecialtyState
P O D I A T R YNY
P O D I A T R YNY
P O D I A T R YGA
P O D I A T R YNY

Reviews

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Frequently asked questions

Where can patients find DR. BENTON PHILIP STEWART (DPM)'s NPI?
You can confirm DR. BENTON PHILIP STEWART (DPM) with NPI 1922629237; it appears in the national provider directory.
Is DR. BENTON PHILIP STEWART (DPM) currently active in the NPI registry?
CMS-published data lists DR. BENTON PHILIP STEWART (DPM) as an active registrant.
What kind of provider is DR. BENTON PHILIP STEWART (DPM)?
The page reflects Podiatrist for DR. BENTON PHILIP STEWART (DPM). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BENTON PHILIP STEWART (DPM)?
The page summarizes Olympia, Washington for DR. BENTON PHILIP STEWART (DPM); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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