BENJAMIN LEE ADDICKS (M.D.) – Otolaryngology Physician, NPI 1598108698
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
273 OTOLARYNGOLOGY in MN
Provider Addresses for BENJAMIN LEE ADDICKS (M.D.)
3590 Arcade St
Vadnais Heights, MN 551277135
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
3460 Promenade Ave
Eagan, MN 551234404
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
11020 161st St W
Lakeville, MN 550446507
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
2651 Hillcrest Dr Ste 302
Hudson, WI 540169919
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone:
Type: Mailing
1500 CURVE CREST BLVD W
STILLWATER, MN 550826040
Phone: (651) 439-1234
Fax: (651) 439-1547
Type: Location
215 RADIO DR STE 202
WOODBURY, MN 551255822
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Mailing
217 RADIO DR
WOODBURY, MN 551255805
Phone: (651) 702-0750
Fax: (651) 645-6166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $1,223.
Total Amount is formed as General ($1,223) + Research ($0) + Ownership ($0) = $1,223.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Neurent Medical Limited ($493).
Total Amount
$1,223
General + Research + Ownership
Payments
19
Total payment records
General Amount
$1,223
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurent Medical Limited | $493 |
| Inspire Medical Systems, Inc. | $362 |
| AERIN MEDICAL INC. | $183 |
| Optinose US, Inc. | $133 |
| Medtronic, Inc. | $22 |
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: 2018-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180910002908 | I | Otolaryngology | MN | TBD |
| I20180912003391 | I | Otolaryngology | WI | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 41 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 22 | 19 | $0 |
| 69210 | Removal of impacted ear wax | 14 | 13 | $0 |
Insurance plans in this area (ZIP 55127)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MN | |
| Otolaryngology, Plastic And Reconstructive Surgery | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Qualified Audiologist | MN | |
| Qualified Audiologist | MN | |
| Qualified Audiologist | MN | |
| Nurse Practitioner | WI |
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