DR. BENJAMIN GREGORY SELLE (DO) – Vascular Surgery Physician, NPI 1699296756
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
242 VASCULAR SURGERY in MI
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Provider Addresses for DR. BENJAMIN GREGORY SELLE (DO)
400 E 3RD ST
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Mailing
25348, Lindenwood Lane, Southfield, Oakland County, Michigan, 48033, United States
SOUTHFIELD, MI 480336107
Phone: (612) 599-8018
Type: Mailing
Beaumont Hospital - Trenton, 5450, Fort Street, Trenton, Wayne County, Michigan, 49224, United States
TRENTON, MI 481834601
Phone: (734) 671-3297
Type: Location
4880 PINES VIEW PL NW UNIT 212
ROCHESTER, MN 559013368
Phone: (612) 599-8018
Type: Mailing
920 E 28TH ST STE 300
MINNEAPOLIS, MN 554071195
Phone: (612) 863-6800
Fax: (612) 863-6006
Type: Location
402 E 2ND ST
DULUTH, MN 558051906
Phone: (218) 786-4000
Fax: (612) 863-6006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 103 Open Payments records for all available years, with a total value of $9,650.
Total Amount is formed as General ($9,650) + Research ($0) + Ownership ($0) = $9,650.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Medtronic, Inc. ($3,186).
Total Amount
$9,650
General + Research + Ownership
Payments
103
Total payment records
General Amount
$9,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $3,186 |
| Penumbra, Inc. | $2,319 |
| W. L. Gore & Associates, Inc. | $2,021 |
| Philips Electronics North America Corporation | $488 |
| Cook Medical LLC | $414 |
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: 2024-09-10
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 |
|---|---|---|---|---|
| I20240910003140 | I | Vascular Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ND | |
| Physician Assistant | IA | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Emergency Medicine, Medical Toxicology | ND | |
| Emergency Medicine | MN | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MN | |
| - | WI | |
| Emergency Medicine | MN | |
| Physician Assistant | SC |
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