DR. BENJAMIN JON MORENO (MD, PHD) – Diagnostic Radiology Physician, NPI 1013163526
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
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Provider Addresses for DR. BENJAMIN JON MORENO (MD, PHD)
620, West Edison Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States
STE 110
MISHAWAKA, IN 465452784
Phone: (574) 258-1100
Fax: (574) 258-1101
Type: Location
3707 NEW VISION DR
FORT WAYNE, IN 468451702
Phone: (260) 469-6602
Fax: (260) 484-5919
Type: Mailing
3707 NEW VISION DR STE 110
FORT WAYNE, IN 468451702
Phone: (260) 469-6602
Fax: (260) 484-5919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $274.
Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Boston Scientific Corporation ($99).
Total Amount
$274
General + Research + Ownership
Payments
10
Total payment records
General Amount
$274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $99 |
| Galvanize Therapeutics, Inc | $53 |
| Cook Medical LLC | $47 |
| Penumbra, Inc. | $39 |
| Medtronic, Inc. | $36 |
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: 2017-06-09
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 |
|---|---|---|---|---|
| I20110701000238 | I | Diagnostic Radiology | IN | TBD |
| I20170609001383 | I | Diagnostic Radiology | OH | 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 | 167 | 162 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 133 | 129 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 115 | 108 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 91 | 84 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 87 | 75 | $0 |
Insurance plans in this area (ZIP 46545)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | IN | 71010 | X-ray of chest, 1 view, front | 88 | 51 |
| DIAGNOSTIC RADIOLOGY | IN | 74177 | CT scan of abdomen and pelvis with contrast | 84 | 77 |
| DIAGNOSTIC RADIOLOGY | IN | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 53 | 51 |
| DIAGNOSTIC RADIOLOGY | IN | 93922 | Ultrasound study of arteries of both arms and legs | 69 | 54 |
| DIAGNOSTIC RADIOLOGY | IN | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 68 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Interventional Radiology, Diagnostic Radiology | IN | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN | |
| - | OH | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | IN | |
| - | OH | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN |
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