Doctor profile · Federal record

Dr. Ethan Bennett

Nurse Practitioner · Registered Nurse · Fort Wayne, IN

  • NPI 1285195339
  • Accepts Medicare
  • MIPS 81.2 / 100 · 2023
  • 7 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
11050 Parkview Circle Dr
Fort Wayne, IN 468451739
(833) 724-8326
fax (260) 266-7935
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701

Credentials & registration

NPPES · NUCC
NPI registered
March 2019 — 7 yrs on file
Profile last updated
March 7, 2023
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
363L00000X — NUCC code
State licenses (2)
Indiana #71008988A · Indiana #28216817A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1285195339. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
28
Distinct HCPCS
1
Medicare allowed
$2,825
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 28 26 $101

In context: peer comparison

Among 168 peers in this city , average services per provider: 93. This provider delivers 0.3× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$343
Transactions
7
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Tempus AI, Inc 2 $194.05
ABBVIE INC. 5 $148.92

By nature of payment

Food and Beverage
$343

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
31
Patients
0
Total drug cost
$427
Drug Type Claims Patients Total cost
Omeprazole Generic 19 0 $210
Pantoprazole Sodium Generic 12 0 $217

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Ethan Bennett's medical specialty?
Dr. Ethan Bennett practices Nurse Practitioner in Fort Wayne, IN.
Where does Dr. Ethan Bennett practice?
Dr. Ethan Bennett practices at 11050 Parkview Circle Dr, Fort Wayne, IN 468451739. Office phone: 8337248326.
What is Dr. Ethan Bennett's NPI?
Dr. Ethan Bennett's National Provider Identifier (NPI) is 1285195339, issued by NPPES.
Does Dr. Ethan Bennett accept Medicare assignment?
Yes. Dr. Ethan Bennett accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ethan Bennett commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.