NPI Details
Richard Gary Bennett, MD is a dermatology in Santa Monica, CA with 56 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Richard Gary Bennett, MD NPI is 1760416648. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1970
The provider's business location address is:
1301 20TH ST
SUITE 570
SANTA MONICA, CA
ZIP 90404-050
Phone: (310) 315-0171
Fax: (310) 828-6647
The NPI 1760416648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The CLIA number assigned to this NPI record is 05D0689131 - physician office with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Removal and microscopic exam of growth, each additional block after 5 tissue blocks (HCPCS:17315)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks (HCPCS:17313)
- Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
- Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks (HCPCS:17314)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Pathology examination of specimen during surgery, each additional tissue block (HCPCS:88332)
- Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
- Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
- Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report (HCPCS:88314)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
- Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm (HCPCS:14061)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
- Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
- Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/8/2007.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | G50297 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | WG50297B | MEDICARE ID-TYPE UNSPECIFIED | CALIFORNIA | PPIN # |
| 2 | WG50297D | MEDICARE ID-TYPE UNSPECIFIED | CALIFORNIA | |
| 3 | A92962 | MEDICARE UPIN | CALIFORNIA | |
| 4 | WG50297C | MEDICARE ID-TYPE UNSPECIFIED | CALIFORNIA | |
| 5 | 00G502970 | OTHER | CALIFORNIA | MEDICAL PPIN # |
