BENJAMIN K DOLEZAL (MD) – Family Medicine Physician, NPI 1588697114

BENJAMIN K DOLEZAL (MD) is a healthcare provider. based in Lindsborg, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 04-31874 (KS). The NPI Number for BENJAMIN K DOLEZAL (MD) is 1588697114

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN K DOLEZAL (MD)
NPI
1588697114
Phone
(785) 227-3371
Address
605 W LINCOLN ST
Enumeration Date
8 July 2006
Last Update Date
28 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7852273371
Graduation Year
2003 (23 years ago)
PAC ID
2769432673
Group Practice PAC ID
3971556580
Professional Enrollment ID
I20060811000457
Address ID
KS674561904LI321XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for BENJAMIN K DOLEZAL (MD)

  • Lindsborg Community Hospital, 605, West Lincoln Street, Lindsborg, McPherson County, Kansas, 67456, United States

    LINDSBORG, KS 674562328

    Phone: (785) 227-3371

    Fax: (785) 227-3004

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($60).

Total Amount

$176

General + Research + Ownership

Payments

11

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2006-08-11

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
I20060811000457IFamily PracticeKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9933$0
99214Established patient office or other outpatient visit, 30-39 minutes9639$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month7114$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes6921$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6628$0
View full utilization report →

Insurance plans in this area (ZIP 67456)

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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: 3971556580View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Family PracticeKS
-KS
Physician AssistantKS
-KS
Nurse PractitionerKS

Reviews

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Frequently asked questions

How do I look up BENJAMIN K DOLEZAL (MD) by NPI?
Use NPI 1588697114 when you need to reference BENJAMIN K DOLEZAL (MD) in forms, claims, or directories.
Is BENJAMIN K DOLEZAL (MD)'s NPI currently valid?
The extract we use shows BENJAMIN K DOLEZAL (MD) as active.
What kind of provider is BENJAMIN K DOLEZAL (MD)?
The page reflects Family Medicine Physician for BENJAMIN K DOLEZAL (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for BENJAMIN K DOLEZAL (MD)?
The page summarizes Lindsborg, Kansas for BENJAMIN K DOLEZAL (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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