BENJAMIN I GLINES (DO) – Emergency Medicine Physician, NPI 1174017180

BENJAMIN I GLINES (DO) is a healthcare provider. based in Riverview, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 02006673A (IN). The NPI Number for BENJAMIN I GLINES (DO) is 1174017180

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN I GLINES (DO)
NPI
1174017180
Phone
(734) 552-4212
Address
14602 WILLIAMSBURG DR
Enumeration Date
22 June 2018
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9549395000
Graduation Year
2018 (8 years ago)
PAC ID
0941556930
Group Practice PAC ID
6608038443
Professional Enrollment ID
I20210809002722
Address ID
MI481924668WY2333XAVEX300

Contacts

Secure Messaging
bglines129691@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:7State licenses:3Other namesUpdated within 12 months

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for BENJAMIN I GLINES (DO)

  • Williamsburg Drive, Three Points, Riverview Terrace, Richland County, South Carolina, 29203, United States

    RIVERVIEW, MI 481937671

    Phone: (734) 552-4212

    Type: Mailing

  • Beaumont Hospital - Farmington Hills, 28050, Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48336, United States

    FARMINGTON HILLS, MI 48336

    Phone: (248) 471-8000

    Type: Location

  • 51103 BLUEGRASS CT

    GRANGER, IN 465304808

    Phone: (734) 552-4212

    Type: Mailing

  • 615 N MICHIGAN ST

    SOUTH BEND, IN 466011033

    Phone: (574) 647-1000

    Type: Location

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 $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($101).

Total Amount

$101

General + Research + Ownership

Payments

1

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$101
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: 2025-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210809002722IEmergency MedicineMITBD
I20220503000375IEmergency MedicineINTBD
I20250312002609IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making202195$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only155150$0
99291Critical care, first 30-74 minutes6666$0
99284Emergency department visit with moderate level of medical decision making4948$0
View full utilization report →

Insurance plans in this area (ZIP 48193)

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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: 6608038443View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerOH
-MI
Nurse PractitionerMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Can I cross-check BENJAMIN I GLINES (DO) using NPI 1174017180?
NPI 1174017180 belongs to BENJAMIN I GLINES (DO); compare other details if you need extra assurance.
Active or inactive — what applies to BENJAMIN I GLINES (DO)?
You should see BENJAMIN I GLINES (DO) as active in CMS-hosted NPPES data.
What kind of doctor is BENJAMIN I GLINES (DO)?
BENJAMIN I GLINES (DO) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is BENJAMIN I GLINES (DO) registered?
Use Riverview, Michigan as the headline location for BENJAMIN I GLINES (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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