BENJAMIN JAMES HAGEMAN (PA-C) – Physician Assistant, NPI 1336790179
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for BENJAMIN JAMES HAGEMAN (PA-C)
Healthpartners, 8170, 33rd Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States
MS 21110Q
BLOOMINGTON, MN 554254516
Phone: (320) 253-5220
Type: Mailing
HealthPartners Central Minnesota Clinics, 2251, Connecticut Avenue South, Sartell, Stearns County, Minnesota, 56377, United States
SARTELL, MN 563772583
Phone: (320) 253-5220
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Novo Nordisk Inc ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $20 |
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: 2019-11-06
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 |
|---|---|---|---|---|
| I20191106002141 | I | Physician Assistant | MN | 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 | 163 | 126 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 140 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 89 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 64 | 46 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 46 | 46 | $0 |
Insurance plans in this area (ZIP 55425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | IA | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | MN | |
| Registered Dietitian Or Nutrition Professional | MN | |
| Family Practice | MN | |
| - | MN | |
| - | WI | |
| - | MN |
Reviews
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