DR. CHAD M BENTSEN M.D.
NPI 1134174923
Emergency Medicine in Kirkland, WA
NPI Status: Active since May 23, 2006
Contact Information
12040 NE 128TH ST
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-1000
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About CHAD BENTSEN
This page provides the complete NPI Profile along with additional information for Chad Bentsen, a provider established in Kirkland, Washington with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1134174923 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X with license number MD00038520 (WA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1134174923
- Provider Name
- DR. CHAD M BENTSEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12040 NE 128TH ST KIRKLAND, WA 98034
- Location Phone
- (425) 899-1000
- Mailing Address
- FILE 50421 LOS ANGELES, CA 90074
- Mailing Phone
- (800) 793-3529
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2006
- Last Update Date
- 12-04-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00038520
- License State
- WA
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H33675 | OTHER (01) | GROUP HEALTH | |
| H33675 | MEDICARE UPIN (02) | ||
| 8272676 | MEDICAID (05) | WA | |
| 185367 | OTHER (01) | WA L&I | |
| 3350BE | OTHER (01) | REGENCE BS | |
| 8802602 | MEDICARE PIN (08) | ||
| P00137328 | MEDICARE PIN (08) | ||
| G8802606 | MEDICARE PIN (08) | ||
| DB9277 | MEDICARE PIN (08) | ||
| 8938301 | OTHER (01) | WA CRIME VICTIM |
Medicare Participation & PECOS Enrollment Status
Chad Bentsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 101 times for 101 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 111 times for 110 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 15 times for 15 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 105 times for 101 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98034 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.43
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $24.35
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $27.75
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
Reviews for DR. CHAD M BENTSEN M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 7 | 4 | 9 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 7 | 8 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 7 + 8 + 9 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1134174923 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225027428 | SUMAN L. TEWARI MD Individual | Obstetrics & Gynecology | 12040 NE 128TH ST MS 105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1962484865 | DR. JAMES STUART COLQUHOUN JR. MD Individual | Internal Medicine | 12040 NE 128TH ST MS #105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1114909090 | DR. JOHNSON E-ZYE LOH MD Individual | Internal Medicine | 12040 NE 128TH ST MS #105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1093797581 | DR. ETTORE GIOVANNI PALAZZO MD Individual | Internal Medicine | 12040 NE 128TH ST MS #105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1649252156 | DR. PETER SER MD Individual | Internal Medicine | 12040 NE 128TH ST MS #105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1992787352 | DR. DAVID JACK LIKOSKY MD Individual | Internal Medicine | 12040 NE 128TH ST MS #105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1932181443 | DR. JONATHAN EDWARD ROSENTHAL MD Individual | Internal Medicine | 12040 NE 128TH ST MS #105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1376526640 | DR. ANDRIUS P SKUCAS MD Individual | Anesthesiology | 12040 NE 128TH ST #69, EVERGREEN MEDICAL CENTER KIRKLAND, WA 98034 (425) 899-3455 |
| 1477536662 | DR. SCOTT ROBERT STUART MD Individual | Internal Medicine | 12040 NE 128TH ST MS #105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1225012735 | DR. TONY YEN MD Individual | Internal Medicine | 12040 NE 128TH ST MS #105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1720066269 | DR. HAROLD E. OLSSON MD Individual | Radiology (Diagnostic Radiology) | 12040 NE 128TH ST EVERGREEN HOSPITAL MEDICAL CENTER KIRKLAND, WA 98034 (425) 899-2000 |
| 1215904628 | DR. SELIG LEYSER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 12040 NE 128TH ST KIRKLAND, WA 98034 (425) 899-2742 |
| 1588616643 | DR. MEATH MAEVE BOWEN MD Individual | Internal Medicine | 12040 NE 128TH ST MS 105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1225080211 | DR. DAVID SIEW MD Individual | Internal Medicine | 12040 NE 128TH ST MS 105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1841244530 | ROBERT S. BURKS MD Individual | Anesthesiology | 12040 NE 128TH ST KIRKLAND, WA 98034 (425) 899-1000 |
| 1568416253 | STEPHEN R. CUPLIN MD Individual | Anesthesiology | 12040 NE 128TH ST KIRKLAND, WA 98034 (425) 899-1000 |
| 1063466670 | TERI L. MCFALL MD Individual | Anesthesiology | 12040 NE 128TH ST KIRKLAND, WA 98034 (425) 899-1000 |
| 1891749586 | SETH M. ARLOW MD Individual | Anesthesiology | 12040 NE 128TH ST KIRKLAND, WA 98034 (425) 899-5566 |
| 1972557205 | DR. JENNIFER EARLY HINES MD Individual | Internal Medicine | 12040 NE 128TH ST MS 105 KIRKLAND, WA 98034 (425) 899-2560 |
| 1184678344 | JOHN C. KOVACICH MD Individual | Anesthesiology | 12040 NE 128TH ST KIRKLAND, WA 98034 (425) 899-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134174923, enumerated in the NPI registry as an "individual" on May 23, 2006
The provider is located at 12040 Ne 128th St Kirkland, Wa 98034 and the phone number is (425) 899-1000
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.43 with an average copayment of $24.35 for new patient appointments. Established patients should expect a typical charge of $111 and an average copayment of 27.75. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on May 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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