BENJAMIN HEAD (MD) – Family Medicine Physician, NPI 1962898080
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
Provider Addresses for BENJAMIN HEAD (MD)
705 2ND STREET
CORDOVA, AK 995742290
Phone: (907) 424-3622
Fax: (907) 424-3275
Type: Mailing
711 ONYX ST
KEMMERER, WY 831013214
Phone: (307) 877-4401
Type: Mailing
711 Onyx St
Kemmerer, WY 83101
Phone: (307) 877-4401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210525000299 | I | Family Practice | TX | TBD |
| I20221118001759 | I | Family Practice | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 34 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 28 | 27 | $0 |
| G0008 | Administration of influenza virus vaccine | 25 | 25 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 17 | 17 | $0 |
Insurance plans in this area (ZIP 99574)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AK | |
| Mental Health Counselor | OR | |
| Mental Health Counselor | AK | |
| Mental Health Counselor | AK | |
| Nurse Practitioner | AK | |
| E N D O C R I N O L O G Y | NY | |
| Registered Dietitian Or Nutrition Professional | AK | |
| Physician Assistant | OR |
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