JOHN BENJAMIN III BACCUS (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1508831157

JOHN BENJAMIN III BACCUS (MD) is a healthcare provider. based in South bend, Indiana. specializing in Pain Medicine (Anesthesiology) Physician. They hold the professional credentials MD. They hold a License No. 01072136A (IN). The NPI Number for JOHN BENJAMIN III BACCUS (MD) is 1508831157

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BENJAMIN III BACCUS (MD)
NPI
1508831157
Phone
(574) 647-1610
Address
710 N NILES AVE
Enumeration Date
17 February 2006
Last Update Date
10 May 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2193241700
Graduation Year
1993 (33 years ago)
PAC ID
4688737745
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20130509000538

Contacts

Secure Messaging
jbaccus@mybeacon.cernerdirect.com
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

Provider Addresses for JOHN BENJAMIN III BACCUS (MD)

  • 710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States

    SOUTH BEND, IN 466171924

    Phone: (574) 647-1610

    Fax: (574) 237-6069

    Type: Mailing

  • 5314 Lincolnway E

    Mishawaka, IN 465444249

    Phone: (574) 256-9032

    Fax: (574) 256-9049

    Type: Location

  • 900 I St

    LA Porte, IN 463505533

    Phone: (219) 324-1700

    Fax: (219) 324-1602

    Type: Location

  • 2222 Rieth Blvd Ste 104

    Goshen, IN 465265869

    Phone: (574) 875-1082

    Fax: (574) 875-3860

    Type: Location

  • 3245 HEALTH DR STE 100

    GRANGER, IN 465301380

    Phone: (574) 647-1069

    Fax: (574) 237-6069

    Type: Mailing

  • Lincolnway West, Mishawaka, Saint Joseph County, Indiana, 46561, United States

    MISHAWAKA, IN 465444249

    Phone: (574) 256-9032

    Fax: (574) 256-9049

    Type: Location

  • 500 ARCADE AVE STE 200

    ELKHART, IN 465142485

    Phone: (574) 294-8404

    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 $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2023-10-09 • Largest payer in this snapshot: Abbott Laboratories ($65).

Total Amount

$83

General + Research + Ownership

Payments

2

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-09

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes19686$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level1611$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level1611$0
62323Injection of substance into lower spine canal using imaging guidance1413$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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Provider's Procedures

JOHN BENJAMIN III BACCUS (MD) performs procedures in Pain Medicine (Anesthesiology) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PAIN MANAGEMENTIN64493Injections of lower or sacral spine facet joint using imaging guidance6030

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: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Nurse PractitionerIN
-IN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN
-IN

Reviews

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Frequently asked questions

Can I verify JOHN BENJAMIN III BACCUS (MD) with an NPI only?
You can start verification with NPI 1508831157 for JOHN BENJAMIN III BACCUS (MD), then check state licensing separately.
Is JOHN BENJAMIN III BACCUS (MD) still practicing?
JOHN BENJAMIN III BACCUS (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes JOHN BENJAMIN III BACCUS (MD)?
For research purposes, treat JOHN BENJAMIN III BACCUS (MD) as Pain Medicine (Anesthesiology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JOHN BENJAMIN III BACCUS (MD) list a practice location?
Patients near South Bend, Indiana may find JOHN BENJAMIN III BACCUS (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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