BENJAMIN C GILLEN (MD) – Diagnostic Radiology Physician, NPI 1316108343
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
1,102 DIAGNOSTIC RADIOLOGY in WI
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Provider Addresses for BENJAMIN C GILLEN (MD)
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
Green Bay, Broadway, Queens, New York, 11373, United States
GREEN BAY, WI 543032728
Phone: (920) 965-0007
Fax: (920) 288-4956
Type: Mailing
2845, Greenbrier Road, Bucktown, Dorchester County, Maryland, 21613, United States
GREEN BAY, WI 543116519
Phone: (920) 965-0007
Fax: (920) 288-4956
Type: Location
W231N1440 CORPORATE CT
WAUKESHA, WI 531861303
Phone: (262) 896-6000
Fax: (920) 288-4956
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: 2015-05-08
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150508001768 | I | Diagnostic Radiology | WI | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4,845 | 42 | $0 |
| 71045 | X-ray of chest, 1 view | 311 | 292 | $0 |
| 77067 | Screening mammography | 285 | 285 | $0 |
| 77063 | Screening 3d breast mammography | 285 | 285 | $0 |
| 71046 | X-ray of chest, 2 views | 132 | 131 | $0 |
Insurance plans in this area (ZIP 60673)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 71250 | CT scan chest | 57 | 57 |
| DIAGNOSTIC RADIOLOGY | WI | 74177 | CT scan of abdomen and pelvis with contrast | 80 | 76 |
| DIAGNOSTIC RADIOLOGY | WI | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 20 | 20 |
| DIAGNOSTIC RADIOLOGY | WI | 93922 | Ultrasound study of arteries of both arms and legs | 28 | 27 |
| DIAGNOSTIC RADIOLOGY | WI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 55 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | WI | |
| Family Practice | PA | |
| Cardiovascular Disease (Cardiology) | WI | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Family Practice | IL |
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