BENJAMIN GOLDMAN (DO) – Urology Physician, NPI 1467019356
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
470 UROLOGY in MI
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Provider Addresses for BENJAMIN GOLDMAN (DO)
East 12 Mile Road, Warren, Macomb County, Michigan, 48088, United States
WARREN, MI 480933570
Phone: (413) 695-2324
Type: Location
12000 E 12 Mile Rd
Warren, MI 480933570
Phone: (413) 695-2324
Type: Location
1711 LIVERNOIS ST
FERNDALE, MI 482201496
Phone:
Type: Mailing
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
Livernois Street, Ferndale, Oakland County, Michigan, 48220, United States
FERNDALE, MI 482201470
Phone: (413) 695-2324
Type: Mailing
14650 E OLD US HIGHWAY 12
CHELSEA, MI 481181801
Phone: (734) 936-7030
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $2,310.
Total Amount is formed as General ($2,310) + Research ($0) + Ownership ($0) = $2,310.
Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Boston Scientific Corporation ($1,766).
Total Amount
$2,310
General + Research + Ownership
Payments
17
Total payment records
General Amount
$2,310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,766 |
| Medtronic, Inc. | $135 |
| COLOPLAST CORP | $135 |
| UROGEN PHARMA, INC. | $121 |
| Axonics, Inc. | $100 |
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: 2024-08-17
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240817000344 | I | Urology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48093)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| Physical Medicine And Rehabilitation | MI | |
| A N E S T H E S I O L O G Y | MI | |
| - | MI | |
| - | MI | |
| Clinical Social Worker | MI | |
| Interventional Radiology | MI |
Reviews
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