BENJAMIN S LONG (MD) – Emergency Medicine Physician, NPI 1043731979

BENJAMIN S LONG (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301119307 (MI). The NPI Number for BENJAMIN S LONG (MD) is 1043731979

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN S LONG (MD)
NPI
1043731979
Phone
Not provided
Address
4100 EMBASSY DR SE STE 400
Enumeration Date
30 June 2017
Last Update Date
29 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2317968691
Graduation Year
2017 (9 years ago)
PAC ID
3072883263
Group Practice PAC ID
8628327384
Professional Enrollment ID
I20190906003078
Address ID
MI493072048BI605XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for BENJAMIN S LONG (MD)

  • 4100 EMBASSY DR SE STE 400

    GRAND RAPIDS, MI 495462416

    Phone:

    Type: Mailing

  • Munson Healthcare Manistee Hospital, 1465, East Parkdale Avenue, Parkdale, Manistee Township, Manistee County, Michigan, 49660, United States

    MANISTEE, MI 496609709

    Phone: (231) 398-1000

    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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Neurelis, Inc. ($18).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

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: 2019-09-06

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
I20190906003078IEmergency MedicineMITBD

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
99284Emergency department visit with moderate level of medical decision making151148$0
99285Emergency department visit with high level of medical decision making143137$0
99291Critical care, first 30-74 minutes8078$0
99283Emergency department visit with low level of medical decision making2625$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 8628327384View full group profile
NameSpecialtyState
Emergency MedicineMI
-MI
-NE
-IL
Emergency MedicineIL
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

What is the registry number for BENJAMIN S LONG (MD)?
The registry entry for BENJAMIN S LONG (MD) shows NPI 1043731979.
Is BENJAMIN S LONG (MD) currently accepting referrals based on NPI status?
Registry metadata lists BENJAMIN S LONG (MD) as active.
What does the directory say BENJAMIN S LONG (MD) does?
Insurance directories may phrase it differently, but here BENJAMIN S LONG (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit BENJAMIN S LONG (MD) in Grand Rapids, Michigan?
For routing, start with Grand Rapids, Michigan for BENJAMIN S LONG (MD), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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