BEN MICHAEL WILLIAMS (MD) – Dermatology Physician, NPI 1407483852

BEN MICHAEL WILLIAMS (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 71569 (AZ). The NPI Number for BEN MICHAEL WILLIAMS (MD) is 1407483852

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
BEN MICHAEL WILLIAMS (MD)
NPI
1407483852
Phone
(859) 323-9918
Address
900 S LIMESTONE CTW 304
Enumeration Date
25 March 2020
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4805560446
Graduation Year
2020 (6 years ago)
PAC ID
5294175725
Group Practice PAC ID
9638069099
Professional Enrollment ID
I20240501003087
Address ID
AZ850863174AN41810DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:6State licenses:2Digital endpointsOther names

166 DERMATOLOGY in KY

Provider Addresses for BEN MICHAEL WILLIAMS (MD)

  • 900 S LIMESTONE CTW 304

    LEXINGTON, KY 405360293

    Phone: (859) 323-9918

    Fax: (859) 323-1197

    Type: Mailing

  • 41810 N VENTURE DR UNIT D136

    ANTHEM, AZ 850863174

    Phone: (304) 838-3084

    Type: Location

  • 40 CELEBRATION DR

    ROCHESTER, NY 146202664

    Phone: (304) 838-3084

    Fax: (585) 276-2430

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $448.

Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($166).

Total Amount

$448

General + Research + Ownership

Payments

16

Total payment records

General Amount

$448

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-01

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
I20240501003087IDermatologyAZTBD

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 40536)

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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: 9638069099View full group profile
NameSpecialtyState
D E R M A T O L O G YAZ
Nurse PractitionerAZ
Physician AssistantAZ
P A T H O L O G YTX
Nurse PractitionerWA
Physician AssistantAZ
Physician AssistantAZ
Physician AssistantAZ
Physician AssistantAZ
D E R M A T O L O G YAZ

Reviews

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Frequently asked questions

What is the registry number for BEN MICHAEL WILLIAMS (MD)?
The registry entry for BEN MICHAEL WILLIAMS (MD) shows NPI 1407483852.
Should I treat BEN MICHAEL WILLIAMS (MD) as an active provider?
Patients and plans typically see BEN MICHAEL WILLIAMS (MD) as active in the national extract.
What does the directory say BEN MICHAEL WILLIAMS (MD) does?
Insurance directories may phrase it differently, but here BEN MICHAEL WILLIAMS (MD) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is BEN MICHAEL WILLIAMS (MD) tied to Lexington, Kentucky?
If you are local to Lexington, Kentucky, BEN MICHAEL WILLIAMS (MD) may be relevant to your search.
Who maintains BEN MICHAEL WILLIAMS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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