NPIMap

Individual provider Active NPI

Brent Jason Benscoter, MD

  • Otology & Neurotology Physician
  • Sacramento, CA
National Provider Identifier
1376703454
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
A150679 Issued in CA
Practice address
1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone
(916) 736-3399
Fax
(916) 233-4171
NPI assigned
Jun 12, 2008
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 125053418 IL
Otology & Neurotology Physician 207YX0901X 4301099963 MI
Otology & Neurotology Physician 207YX0901X 01073373A IN
Otology & Neurotology Physician 207YX0901X A150679 CA Primary

Addresses

Primary practice location

1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314

Mailing address

1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3399

Other identifiers 1

IdentifierTypeStateIssuer
201230760MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108001444 CA Practitioner - Otolaryngology 2668696048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, shared by 7 NPIs, 168 clinicians

Practice addresses (Care Compare)

1111 Exposition Blvd
Suite 700
Sacramento, CA 95815-4314
Phone (916) 736-3399

4201 Town Ctr Blvd
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.25 of 100Reported as group
Quality
51.19
Promoting interoperability
94
Improvement activities
40
Cost
61.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125053418ILMDOtolaryngology Physician
A150679CAMDOtology & Neurotology Physician
4301099963MIMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Ear Nose & Throat Surgical & Medical Group Inc Otolaryngology CurrentSince Jan 1, 2018 Accepting new patients
Major Hospital Past Accepting new patients
Sutter Gould Medical Foundation Past Accepting new patients

Locations

1111 Exposition Blvd
Bldg 700
Sacramento, CA 95815
Phone (916) 736-3399

1111 Exposition Blvd
Ste 700
Sacramento, CA 95815
Phone (916) 736-3399

Interoperability endpoints

  • Direct secure messaging: bbenscoter388082@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1376703454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-736-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-233-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSCOTER",
        "first_name": "BRENT",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "125053418",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MI",
            "license": "4301099963",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "IN",
            "license": "01073373A",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "A150679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201230760",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.