TODD DAVID BENGTSON MD NPI 1912970773

NPI Information

  • NPI: 1912970773
  • Provider Name: TODD DAVID BENGTSON, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 619 S FLEISHEL AVE
    STE 203
    TYLER, TX
    ZIP 75701
  • Phone: (903) 525-1400

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NPI Details

Todd David Bengtson, MD is a vascular surgery surgery in Tyler, TX with 34 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Todd David Bengtson, MD NPI is 1912970773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1992

The provider's business location address is:

619 S FLEISHEL AVE
STE 203
TYLER, TX
ZIP 75701-004
Phone: (903) 525-1400

The NPI 1912970773 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), Power Mobility Devices.

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, 20-29 minutes (HCPCS:99213)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Creation of artery-vein connection using tube graft for hemodialysis (HCPCS:36830)
  • Removal of blood clot and portion of chest, neck, or brain artery (HCPCS:35301)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Ultrasound of hemodialysis access (HCPCS:93990)
  • Bypass of diseased or blocked upper leg to lower thigh artery with other than vein (HCPCS:35656)
  • Insertion of tube into aorta (HCPCS:36200)
  • Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS:36821)
  • Exposure of thigh artery for insertion of prosthesis (HCPCS:34812)
  • Insertion of stent and blood clot protection device in neck artery with review by radiologist (HCPCS:37215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Spinal fusion (HCPCS:NAN02)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 2/10/2006 and was last updated on 10/30/2025.

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
1208600000XSurgeryJ5139TEXASNo
22086S0129XSurgeryVascular SurgeryJ5139TEXASYes

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
1020039690OTHERTEXASMEDICARE RAILROAD
2123704OTHERTEXASCHIPS
3752616977111OTHERTEXASTRICARE
4752616977053OTHERTEXASTRICARE CHAMPUS
575-2616977-130OTHERTEXASTRICARE
65076044OTHERTEXASAETNA
7123916203MEDICAIDTEXAS
8752616977083OTHERTEXASTRICARE
988860GOTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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