BENJAMIN THOMAS BARBETTA – Oral and Maxillofacial Surgery (Dentist), NPI 1982902821

BENJAMIN THOMAS BARBETTA is a healthcare provider. based in Detroit, Michigan. specializing in MAXILLOFACIAL SURGERY, GENERAL SURGERY, ORAL SURGERY. They hold a License No. 2901022095 (MI). The NPI Number for BENJAMIN THOMAS BARBETTA is 1982902821

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN THOMAS BARBETTA
NPI
1982902821
Phone
Not provided
Address
2799 W GRAND BLVD
Enumeration Date
2 March 2011
Last Update Date
27 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
3779880521
Group Practice PAC ID
5092605717
Professional Enrollment ID
I20170823002936
Address ID
MI483223634WE33010HWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

34 MAXILLOFACIAL SURGERY in MD

Provider Addresses for BENJAMIN THOMAS BARBETTA

  • 2799 W GRAND BLVD

    DETROIT, MI 482022608

    Phone:

    Type: Mailing

  • 650 W Baltimore St

    Rm 1216

    Baltimore, MD 212011510

    Phone: (410) 706-3964

    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 $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Stryker Corporation ($151).

Total Amount

$151

General + Research + Ownership

Payments

2

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$151
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: 2017-08-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170823002936IMaxillofacial SurgeryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48202)

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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: 5092605717View full group profile
NameSpecialtyState
N E U R O L O G YMI
Orthopedic SurgeryAZ
Family PracticeMI
Internal Medicine, Sports MedicineMI
Internal MedicineMI
Internal MedicineMI
Internal MedicineMI
Physical Medicine And RehabilitationIL
Family PracticeMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

How do payers reference BENJAMIN THOMAS BARBETTA?
For BENJAMIN THOMAS BARBETTA, use NPI 1982902821 as the unique 10-digit identifier.
Is BENJAMIN THOMAS BARBETTA still an active registrant?
BENJAMIN THOMAS BARBETTA carries an active NPI according to the public dataset.
What kind of doctor is BENJAMIN THOMAS BARBETTA?
BENJAMIN THOMAS BARBETTA is associated with Oral and Maxillofacial Surgery (Dentist) in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is BENJAMIN THOMAS BARBETTA registered?
Use Detroit, Michigan as the headline location for BENJAMIN THOMAS BARBETTA here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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