DR. BENJAMIN WALLBRUNN FELDER (DO) – Internal Medicine Physician, NPI 1003261041

DR. BENJAMIN WALLBRUNN FELDER (DO) is a healthcare provider. based in Grand rapids, Michigan. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials DO. They hold a License No. 316981 (NY). The NPI Number for DR. BENJAMIN WALLBRUNN FELDER (DO) is 1003261041

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN WALLBRUNN FELDER (DO)
NPI
1003261041
Phone
(520) 440-3152
Address
600 BROADWAY AVE NW APT 307
Enumeration Date
27 April 2016
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182508000
Graduation Year
2016 (10 years ago)
PAC ID
8628308509
Group Practice PAC ID
9133265317
Professional Enrollment ID
I20220921001783
Address ID
NY112015425BR121XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for DR. BENJAMIN WALLBRUNN FELDER (DO)

  • 600 BROADWAY AVE NW APT 307

    GRAND RAPIDS, MI 495047318

    Phone: (520) 440-3152

    Type: Mailing

  • 281 1st Ave

    New York, NY 100032925

    Phone: (212) 844-1808

    Type: Location

  • 600 Broadway Ave NW Apt 307

    Grand Rapids, MI 495047318

    Phone: (520) 440-3152

    Type: Location

  • FIRST AVENUE AT 16TH STREET

    NEW YORK, NY 10003

    Phone: (212) 844-1808

    Type: Location

  • 1 HEALTHY WAY

    OCEANSIDE, NY 115721551

    Phone: (516) 632-3666

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Kiniksa Pharmaceuticals International, plc ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

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: 2022-09-21

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
I20220921001783IInternal MedicineNYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14381$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8850$0
99239Hospital discharge day management, more than 30 minutes4946$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2727$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49504)

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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: 9133265317View full group profile
NameSpecialtyState
Orthopedic SurgeryNY
Vascular SurgeryNY
O B S T E T R I C S/ G Y N E C O L O G YNY
R H E U M A T O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineNY
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineNY
Critical Care (Intensivists), Internal MedicineFL
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

Where can patients find DR. BENJAMIN WALLBRUNN FELDER (DO)'s NPI?
You can confirm DR. BENJAMIN WALLBRUNN FELDER (DO) with NPI 1003261041; it appears in the national provider directory.
Does this profile mean DR. BENJAMIN WALLBRUNN FELDER (DO) is currently active?
Yes — DR. BENJAMIN WALLBRUNN FELDER (DO) appears active in the national provider directory.
Can you summarize DR. BENJAMIN WALLBRUNN FELDER (DO)'s specialty in plain language?
Clinically, the directory lists DR. BENJAMIN WALLBRUNN FELDER (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. BENJAMIN WALLBRUNN FELDER (DO)?
The snapshot lists Grand Rapids, Michigan for DR. BENJAMIN WALLBRUNN FELDER (DO); download NPPES for the complete set.
What if Grand Rapids, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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