BENJAMIN LEE ADDICKS (M.D.) – Otolaryngology Physician, NPI 1598108698

BENJAMIN LEE ADDICKS (M.D.) is a healthcare provider. based in Vadnais heights, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 68905 (WI). The NPI Number for BENJAMIN LEE ADDICKS (M.D.) is 1598108698

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN LEE ADDICKS (M.D.)
NPI
1598108698
Phone
(651) 702-0750
Address
3590 Arcade St
Enumeration Date
9 April 2013
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6517020750
Graduation Year
2013 (13 years ago)
PAC ID
6002119732
Group Practice PAC ID
1658268651
Professional Enrollment ID
I20180910002908
Address ID
MN551277135VA3590XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180910002908IOtolaryngologyMNTBD
I20180912003391IOtolaryngologyWITBD

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
99203New patient office or other outpatient visit, 30-44 minutes4747$0
99213Established patient office or other outpatient visit, 20-29 minutes4541$0
31575Diagnostic exam of voice box using a flexible endoscope2219$0
69210Removal of impacted ear wax1413$0
View full utilization report →

Insurance plans in this area (ZIP 55127)

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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: 1658268651View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Otolaryngology, Plastic And Reconstructive SurgeryMN
O T O L A R Y N G O L O G YMN
O T O L A R Y N G O L O G YMN
Physician AssistantMN
Physician AssistantMN
Qualified AudiologistMN
Qualified AudiologistMN
Qualified AudiologistMN
Nurse PractitionerWI

Reviews

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Frequently asked questions

What number should I use to identify BENJAMIN LEE ADDICKS (M.D.) for billing?
Administrative and clinical systems typically use NPI 1598108698 for BENJAMIN LEE ADDICKS (M.D.).
Quick check: is BENJAMIN LEE ADDICKS (M.D.) active?
Public NPPES data shows BENJAMIN LEE ADDICKS (M.D.) with an active NPI status right now.
Which specialty label fits BENJAMIN LEE ADDICKS (M.D.)?
NPPES ties BENJAMIN LEE ADDICKS (M.D.) to Otolaryngology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to BENJAMIN LEE ADDICKS (M.D.)?
BENJAMIN LEE ADDICKS (M.D.) shows a connection to Vadnais Heights, Minnesota in registry-derived data.
Why is information missing for BENJAMIN LEE ADDICKS (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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