DR. PAUL ALAN BENSON (D.O.) – Family Medicine Physician, NPI 1174554364
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. PAUL ALAN BENSON (D.O.)
11 Mile Road, Berkley, Oakland County, Michigan, 48070, United States
SUITE 1
BERKLEY, MI 480723046
Phone: (248) 544-9300
Fax: (248) 544-1148
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 542 Open Payments records for all available years, with a total value of $225,417.
Total Amount is formed as General ($223,014) + Research ($2,403) + Ownership ($0) = $225,417.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ViiV Healthcare Company ($124,693).
Total Amount
$225,417
General + Research + Ownership
Payments
542
Total payment records
General Amount
$223,014
General payments
Research Amount
$2,403
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $124,693 |
| Gilead Sciences, Inc. | $81,756 |
| Janssen Products, LP | $8,692 |
| GlaxoSmithKline, LLC. | $2,431 |
| Novo Nordisk Inc | $2,320 |
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: 2008-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080112000155 | I | Family Practice | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 443 | 192 | $0 |
| 81003 | Automated urinalysis test | 272 | 165 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 210 | 118 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 188 | 133 | $0 |
| 83036 | Hemoglobin a1c level | 139 | 65 | $0 |
Insurance plans in this area (ZIP 48072)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 83036 | Hemoglobin A1C level | 53 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Otolaryngology, Plastic And Reconstructive Surgery | MI | |
| Medical Oncology, Internal Medicine | MI | |
| - | MI | |
| - | AE | |
| Pediatric Medicine | MI |
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