DR. RICHARD DAVID BENNETT (PA-C) – Medical Physician Assistant, NPI 1679910343

DR. RICHARD DAVID BENNETT (PA-C) is a healthcare provider. based in Cody, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA61518207 (WA). The NPI Number for DR. RICHARD DAVID BENNETT (PA-C) is 1679910343

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD DAVID BENNETT (PA-C)
NPI
1679910343
Phone
(307) 578-1955
Address
720 LINDSAY LANE, SUITE C
Enumeration Date
4 June 2013
Last Update Date
12 February 2024

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5097547186
Graduation Year
2012 (14 years ago)
PAC ID
2961638812
Group Practice PAC ID
9537309869
Professional Enrollment ID
I20240226003663
Address ID
WA988231850EP314XXSWXX400

Contacts

FHIR Endpoint
https://epicoxy.et0764.epichosted.com/FHIRProxy/api/FHIR/Rpr4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

324 PHYSICIAN ASSISTANT in WY

Provider Addresses for DR. RICHARD DAVID BENNETT (PA-C)

  • 720 LINDSAY LANE, SUITE C

    BIG HORN BASIN BONE AND JOINT, LLC

    CODY, WY 824144103

    Phone: (307) 578-1955

    Fax: (307) 578-1979

    Type: Mailing

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

  • 314 BASIN ST SW

    EPHRATA, WA 988231850

    Phone: (509) 662-1511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-06-05 • Largest payer in this snapshot: Alkermes, Inc. ($22).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$22
ABBVIE INC.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2024-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210520001420IPhysician AssistantAZTBD
I20240226003663IPhysician AssistantWATBD

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 82414)

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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: 9537309869View full group profile

Reviews

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Frequently asked questions

Can I verify DR. RICHARD DAVID BENNETT (PA-C) with an NPI only?
You can start verification with NPI 1679910343 for DR. RICHARD DAVID BENNETT (PA-C), then check state licensing separately.
Is DR. RICHARD DAVID BENNETT (PA-C) listed as active for patients and plans?
The listing shows DR. RICHARD DAVID BENNETT (PA-C) as active in the NPI system.
What healthcare role does DR. RICHARD DAVID BENNETT (PA-C) hold?
Scheduling teams often label DR. RICHARD DAVID BENNETT (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is DR. RICHARD DAVID BENNETT (PA-C) based?
DR. RICHARD DAVID BENNETT (PA-C) is tied to Cody, Wyoming in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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