Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kirk Bennett , PA-C

Physician Assistant โ€ข Mesa, AZ

Active NPI 1194382077 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

835 W University Dr
Mesa, AZ 852015555

Call 4806646007 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

835 W University Dr

Mesa, AZ 852015555

Telephone 4806646007
Organization at the Same NPPES Address or Phone
19th Avenue Clinic Llc Facility NPI 1053667709

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Detroit, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 4 distinct group names: Columbia Lutheran Charities; Family Health Centers Of San Diego Inc; Independent Hospitalist Physicians Pllc and 1 more. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Wayne State University School Of Medicine

Graduation Year

2019

Medicare-allowed amount

About $6,113 in 2022

The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2022.

Paid by Medicare

About $5,166 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2022.

30-day fills

578 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$20,886 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $146.68 across 3 records.

By nature of payment

  • Food and Beverage: $145.41 across 2 records.
  • Travel and Lodging: $1.27 across 1 record.

Reporting-company totals

  • Eli Lilly and Company: $146.68 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kirk Bennett has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kirk Bennett as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mesa and Arizona

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Mesa, AZ (2024, 144 clinicians with data). Median for this group: 226. Middle half: 82 to 801.

Close to the middle for clinicians listed under Physician Assistant in Arizona (2024, 1,917 clinicians with data). Median for this group: 260. Middle half: 86 to 858.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Mesa, AZ (2024, 144 clinicians with data). Median for this group: $2,540. Middle half: $652 to $59,653.

A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Arizona (2024, 1,917 clinicians with data). Median for this group: $4,301. Middle half: $765 to $83,048.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Kirk Bennett are from 2022.

472 active clinicians are listed under Physician Assistant with a practice address in Mesa, AZ (3,673 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mesa

8.3% of these 472 clinicians have the CMS telehealth indicator.

37.1% of these 472 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $146.68.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
Cash or cash equivalent
ZEPBOUND General $120.21
Eli Lilly and Company
Food and Beverage
In-kind items and services
MOUNJARO General $25.20
Eli Lilly and Company
Travel and Lodging
Cash or cash equivalent
ZEPBOUND General $1.27

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B ยท Data Year 2022
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99220 Hospital observation care, typically 70 minutes
20 20 $1403.00 $155.00
99285 Emergency department visit with high level of medical decision making
19 19 $1588.00 $158.56

Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Albuterol Sulfate Hfa Albuterol Sulfate 33 723 $800.55 27
Lisinopril Lisinopril 31 2,220 $52.83 16
Atorvastatin Calcium Atorvastatin Calcium 26 1,890 $88.78 15
Cephalexin Cephalexin 25 150 $104.57 25
Prednisone Prednisone 23 236 $70.02 21
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 23 160 $124.65 23
Amlodipine Besylate Amlodipine Besylate 17 1,170 $51.46 11
Losartan Potassium Losartan Potassium 17 1,200 $65.09 12
Jardiance Empagliflozin 17 1,020 $18,738.54 11
Azithromycin Azithromycin 16 73 $71.86 15
Metformin Hcl Metformin Hcl 16 1,261 $47.00 โ€”
Omeprazole Omeprazole 16 824 $90.65 11
Rosuvastatin Calcium Rosuvastatin Calcium 15 1,290 $187.72 11
Levothyroxine Sodium Levothyroxine Sodium 14 750 $70.32 โ€”
Duloxetine Hcl Duloxetine Hcl 13 390 $37.85 โ€”
Methylprednisolone Methylprednisolone 12 72 $64.28 12
Sertraline Hcl Sertraline Hcl 12 600 $67.46 โ€”
Gabapentin Gabapentin 11 360 $117.33 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 11 87 $35.37 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA 62204

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES AZ 9503

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601009199

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240314004034

Enrollment State Jurisdiction

OR

PECOS Control ID

9931436474

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Columbia Lutheran Charities

1639 Se Ensign Ln, Warrenton, OR 971467308

Phone: 5033384500

Columbia Lutheran Charities

1639 Se Ensign Ln, Warrenton, OR 971467308

Phone: 5033384500

Independent Hospitalist Physicians Pllc

16001 W 9 Mile Rd, Southfield, MI 480754818

Phone: 2488493000

Independent Observation Physicians Pllc

16001 W 9 Mile Rd, Southfield, MI 480754818

Phone: 2488493000

Independent Observation Physicians Pllc

47601 Grand River Ave, Novi, MI 483741233

Phone: 2484654210

Family Health Centers Of San Diego Inc

5160 Federal Blvd, San Diego, CA 921055429

Phone: 6195152454

Secondary Practice Locations

259 Mack Ave

Detroit, MI 48201

Phone: 3135771716

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kiran Thaker , PA

Physician Assistant

NPI 1619225802

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2024

Physician Assistant (license number reported to NPPES: AZ 9503)

๐Ÿ“
Updated Practice Location December 15, 2022

Registered at 835 W UNIVERSITY DR, MESA, AZ 852015555 (Tel: 4806646007)

๐Ÿ“
Updated Business Mailing Address December 15, 2022

Registered at 835 W UNIVERSITY DR, MESA, AZ 852015555

โœ…
NPI Profile Active May 25, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 25, 2019

Registered at 259 MACK AVE, DETROIT, MI 48201 (Tel: 3135771716)

๐Ÿ“
Business Mailing Address (Initial Record) May 25, 2019

Registered at 259 MACK AVE, DETROIT, MI 482012427

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 25, 2019

Recorded as KIRK BENNETT, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2019

Physician Assistant (license number reported to NPPES: MI 5601009199)

๐ŸŸข
Initial NPI Registration & Enumeration May 25, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194382077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2019
Last Update: July 07, 2025
Sole Proprietor: No

Other Physician Assistants in Mesa

All Physician Assistants in Mesa

Mailing Address

835 W University Dr

Mesa, AZ 852015555

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.