Luke Anthony Bennett, MD
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Branson, MO
NPI 1447543772 · NPPES record last updated Jul 19, 2024
Key facts
- NPI
- 1447543772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 2024008945 (MO)
- Practice address
- 121 Cahill Rd Ste 204
Branson, MO 65616-1911 - Phone
- (417) 335-7222
- Fax
- (417) 335-7224
- NPI assigned
- May 19, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Arkansas College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skaggs Community Hospital Association
Practice addresses (Care Compare)
121 Cahill Rd
Suite 204
Branson, MO 65616-1911
Phone (417) 335-7222
Hospital & facility affiliations
- Cox Medical Center Branson
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.41 of 100
- Quality
- 76.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240522000507 | MO | Practitioner - Anesthesiology | 4284953142 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024008945 | MO | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skaggs Community Hospital Association | Current |
Accepting new patients | |
| Skaggs Community Hospital Association | Current |
Accepting new patients |
Locations
121 Cahill Rd
Ste 204
Branson, MO 65616
Phone (417) 335-7222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2024008945 | MO | Yes |
Addresses
Primary practice location
121 Cahill Rd Ste 204
Branson, MO 65616-1911
Mailing address
PO Box 505673
Saint Louis, MO 63150-5673
Phone (417) 730-6430
Other providers in Branson, MO
- Steven B Bartholomew
- Michael E Bays
- Tera L Beaird
- Amy Beth Beaver
- Adam Bennett
- Jeremy Berbereia
- Nathan L Berbereia
- John Andrew Berg
- Wayne E Berkbigler
- Emma P Bise
All providers in Branson, MO · Pain Medicine (Anesthesiology) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.