Active NPI
Travis Erhardt Bentz, MD
- Family Medicine Physician
- Vanceburg, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TP666
- Practice address
- 211 Ky 59
Vanceburg, KY 41179-7647 - Phone
- (606) 796-3029
- NPI assigned
- Mar 4, 2014
- Last updated
- Jul 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-18361 | HI | |
| Family Medicine Physician | 207Q00000X | TP666 | KY | Primary |
| General Practice Physician | 208D00000X | MD-18361 | HI |
Addresses
Primary practice location
211 Ky 59
Vanceburg, KY 41179-7647
Mailing address
1650 Cochrane Cir BLDG 7505
Fort Carson, CO 80913-4613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Dakota School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029
432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP666 | KY | MD | Anatomic Pathology Physician |
| MD-18361 | HI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Primary Care Center, Inc. | Current | Accepting new patients | |
| Lewis County Primary Care Center, Inc. | Single Specialty | Current | Accepting new patients |
Locations
432 16th St
Ashland, KY 41101
Phone (859) 509-5636
211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029
Interoperability endpoints
- travis.bentz.1@13661.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba PrimaryPlus
- Federally Qualified Health Center (FQHC)
- Vanceburg, KY
- NPI 1457303802
Single Specialty
-
dba PrimaryPlus - Morehead
- Federally Qualified Health Center (FQHC)
- Morehead, KY
- NPI 1215643440
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fleming County Hospital
- Critical Access Hospital
- Flemingsburg, KY
- NPI 1881726347
-
dba Meadowview Regional Medical Center
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
dba Meadowview Regional Medical Center
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1871918607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR BLDG 7505",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 KY 59",
"city": "VANCEBURG",
"state": "KY",
"postal_code": "411797647",
"telephone_number": "606-796-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTZ",
"first_name": "TRAVIS",
"middle_name": "ERHARDT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-04",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-18361",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "TP666",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "MD-18361",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vanceburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.