DR. BENJAMIN ROBERT PERSCHAU (MD) – Emergency Medicine Physician, NPI 1215149141

DR. BENJAMIN ROBERT PERSCHAU (MD) is a healthcare provider. based in Coeur d alene, Idaho. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. M9960 (ID). The NPI Number for DR. BENJAMIN ROBERT PERSCHAU (MD) is 1215149141

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN ROBERT PERSCHAU (MD)
NPI
1215149141
Phone
(208) 625-4000
Address
2003 KOOTENAI HEALTH WAY
Enumeration Date
4 May 2007
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2088824511
Graduation Year
2004 (22 years ago)
PAC ID
6608968599
Group Practice PAC ID
8729070164
Professional Enrollment ID
I20070823000306
Address ID
ID838433056MO700XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

270 EMERGENCY MEDICINE in ID

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Provider Addresses for DR. BENJAMIN ROBERT PERSCHAU (MD)

  • West Kootenai Health Way, Coeur d'Alene, Kootenai County, Idaho, 83815, United States

    COEUR D ALENE, ID 838146051

    Phone: (208) 625-4000

    Fax: (208) 625-5731

    Type: Mailing

  • 700 S Main St

    Moscow, ID 838433046

    Phone: (208) 882-4511

    Fax: (208) 883-6580

    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: 2007-08-23

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
I20070823000306IEmergency MedicineIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83814)

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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: 8729070164View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. BENJAMIN ROBERT PERSCHAU (MD) in the U.S.?
In the U.S., DR. BENJAMIN ROBERT PERSCHAU (MD) is identified by NPI 1215149141.
Does the public listing show DR. BENJAMIN ROBERT PERSCHAU (MD) as active?
DR. BENJAMIN ROBERT PERSCHAU (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. BENJAMIN ROBERT PERSCHAU (MD) provide?
DR. BENJAMIN ROBERT PERSCHAU (MD)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BENJAMIN ROBERT PERSCHAU (MD)?
DR. BENJAMIN ROBERT PERSCHAU (MD) shows a connection to Coeur D Alene, Idaho in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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