BENJAMIN STOCKTON (MD) – Family Medicine Physician, NPI 1124476072

BENJAMIN STOCKTON (MD) is a healthcare provider. based in Ponderay, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MRM-1586 (ID). The NPI Number for BENJAMIN STOCKTON (MD) is 1124476072

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN STOCKTON (MD)
NPI
1124476072
Phone
(208) 263-7101
Address
30410 Highway 200
Enumeration Date
1 June 2016
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
7214220045
Group Practice PAC ID
2264341221
Professional Enrollment ID
I20200120000258
Address ID
ID838640000SAPOXXXBOXX265
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

971 FAMILY PRACTICE in ID

Provider Addresses for BENJAMIN STOCKTON (MD)

  • 30410 Highway 200

    Ponderay, ID 83852

    Phone: (208) 263-7101

    Type: Location

  • 777, North Raymond Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States

    BOISE, ID 837049251

    Phone: (208) 514-2500

    Fax: (208) 375-2217

    Type: Mailing

  • PO BOX 2160

    SANDPOINT, ID 838640908

    Phone: (208) 263-7101

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: PFIZER INC. ($59).

Total Amount

$132

General + Research + Ownership

Payments

6

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200120000258IFamily PracticeIDTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level17493$0
View full utilization report →

Insurance plans in this area (ZIP 83852)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264341221View full group profile
NameSpecialtyState
Nurse PractitionerID
Nurse PractitionerTX
Nurse PractitionerID
Nurse PractitionerWA
Nurse PractitionerAZ
Clinical PsychologistMT
-ID
Physician AssistantID
-ID
-ID

Reviews

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Frequently asked questions

Where can patients find BENJAMIN STOCKTON (MD)'s NPI?
You can confirm BENJAMIN STOCKTON (MD) with NPI 1124476072; it appears in the national provider directory.
Is BENJAMIN STOCKTON (MD) active in the national directory?
BENJAMIN STOCKTON (MD)'s public NPI profile is in an active state.
Does BENJAMIN STOCKTON (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for BENJAMIN STOCKTON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place BENJAMIN STOCKTON (MD)?
The snapshot lists Ponderay, Idaho for BENJAMIN STOCKTON (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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