DR. BENJAMIN TEICHMAN ADDICOTT (M.D.) – Vascular & Interventional Radiology Physician, NPI 1093077356
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for DR. BENJAMIN TEICHMAN ADDICOTT (M.D.)
1310 LAS TABLAS RD STE 103
TEMPLETON, CA 934659746
Phone: (805) 434-0829
Fax: (805) 434-0826
Type: Location
1356 Lusitana St
room 611
Honolulu, HI 968132409
Phone: (808) 586-8231
Type: Location
1310 Las Tablas Rd Ste 103
Templeton, CA 934659746
Phone: (805) 434-0829
Fax: (805) 434-0826
Type: Location
2320 BATH ST STE 208
SANTA BARBARA, CA 931055322
Phone: (805) 682-7984
Type: Mailing
17161 FRIML LN
HUNTINGTON BEACH, CA 926494510
Phone: (352) 262-1784
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Boston Scientific Corporation ($153).
Total Amount
$153
General + Research + Ownership
Payments
2
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $153 |
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: 2025-04-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20180530002068 | I | Interventional Radiology | CA | TBD |
| I20220520000524 | I | Diagnostic Radiology | TX | TBD |
| I20240705000312 | I | Diagnostic Radiology | NM | TBD |
| I20250428002834 | I | Diagnostic Radiology | MS | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 203 | 189 | $0 |
| 70450 | Ct scan head or brain without contrast | 88 | 87 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 51 | 51 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 36 | 35 | $0 |
| 72125 | Ct scan of upper spine without contrast | 22 | 21 | $0 |
Insurance plans in this area (ZIP 93465)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| - | GA | |
| - | MO | |
| Internal Medicine | AZ | |
| General Surgery | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| Emergency Medicine | CO | |
| - | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Diagnostic Radiology | AL |
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