BENJAMIN ROBERT JOHN CAROLAN (PA-C) – Physician Assistant, NPI 1265066963

BENJAMIN ROBERT JOHN CAROLAN (PA-C) is a healthcare provider. based in Troy, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601010043 (MI). The NPI Number for BENJAMIN ROBERT JOHN CAROLAN (PA-C) is 1265066963

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN ROBERT JOHN CAROLAN (PA-C)
NPI
1265066963
Phone
(586) 977-7246
Address
2885 E LONG LAKE RD STE AB
Enumeration Date
3 March 2020
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482669137
Graduation Year
2020 (6 years ago)
PAC ID
0244642445
Group Practice PAC ID
9537308192
Professional Enrollment ID
I20201211001837
Address ID
MI480854100TR2885XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for BENJAMIN ROBERT JOHN CAROLAN (PA-C)

  • 2885 E LONG LAKE RD STE AB

    TROY, MI 480854100

    Phone: (586) 977-7246

    Type: Mailing

  • 750 HIGHLAND AVE

    MADISON, WI 537052221

    Phone:

    Type: Mailing

  • 25200 Kelly Rd

    Roseville, MI 480664473

    Phone: (586) 422-1250

    Type: Location

  • 23800 Orchard Lake Rd Ste 200

    Farmington Hills, MI 483362562

    Phone: (586) 977-7246

    Fax: (248) 710-2200

    Type: Location

  • 2820 Crooks Rd

    Rochester Hills, MI 483093620

    Phone: (586) 977-7246

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $3,273.

Total Amount is formed as General ($3,273) + Research ($0) + Ownership ($0) = $3,273.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($1,992).

Total Amount

$3,273

General + Research + Ownership

Payments

60

Total payment records

General Amount

$3,273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2020-12-11

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
I20201211001837IPhysician AssistantMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7261$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms2322$0
80307Testing for presence of drug, by chemistry analyzers1818$0
View full utilization report →

Insurance plans in this area (ZIP 48085)

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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: 9537308192View full group profile
NameSpecialtyState
Nurse PractitionerMI
Pain Management, Anesthesiology, Interventional Pain ManagementMI
Physician AssistantMI
Anesthesiology, Pain ManagementMI
Anesthesiology, Pain ManagementOH
Anesthesiology, Pain ManagementMI
Physician AssistantMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is BENJAMIN ROBERT JOHN CAROLAN (PA-C) listed with a National Provider Identifier?
Yes — BENJAMIN ROBERT JOHN CAROLAN (PA-C) has NPI 1265066963 on file in the registry.
Would BENJAMIN ROBERT JOHN CAROLAN (PA-C) appear as active to a payer?
You can treat BENJAMIN ROBERT JOHN CAROLAN (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with BENJAMIN ROBERT JOHN CAROLAN (PA-C)?
BENJAMIN ROBERT JOHN CAROLAN (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BENJAMIN ROBERT JOHN CAROLAN (PA-C) located near Troy?
BENJAMIN ROBERT JOHN CAROLAN (PA-C) currently maps to Troy, Michigan in this extract.
When was this NPI issued?
Enumeration for BENJAMIN ROBERT JOHN CAROLAN (PA-C) is noted as March 3, 2020 where the registry provides it.

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