BENJAMIN BARRY MAZAL (M.D.) – Family Medicine Physician, NPI 1144537804

BENJAMIN BARRY MAZAL (M.D.) is a healthcare provider. based in Warsaw, Missouri. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. C1-0009472 (DE). The NPI Number for BENJAMIN BARRY MAZAL (M.D.) is 1144537804

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN BARRY MAZAL (M.D.)
NPI
1144537804
Phone
(660) 438-5193
Address
1771 COMMERCIAL ST
Enumeration Date
1 September 2010
Last Update Date
7 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5052874446
Graduation Year
1987 (39 years ago)
PAC ID
9234395161
Group Practice PAC ID
8123473626
Professional Enrollment ID
I20150615000469
Address ID
KY442401965HO320XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Provider Addresses for BENJAMIN BARRY MAZAL (M.D.)

  • 1771 COMMERCIAL ST

    WARSAW, MO 653553096

    Phone: (660) 438-5193

    Fax: (660) 438-2615

    Mailing address matches the actual address.

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-05-16 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-16

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: 2015-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150615000469IFamily PracticeKYTBD

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
99285Emergency department visit with high level of medical decision making281237$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only274217$0
99284Emergency department visit with moderate level of medical decision making10881$0
99291Critical care, first 30-74 minutes10289$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 65355)

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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: 8123473626View full group profile
NameSpecialtyState
Physician AssistantTX
Emergency Medicine, Family PracticeIN
Nurse PractitionerTN
Family PracticeOH
Emergency MedicineTN
Emergency MedicineTN
Nurse PractitionerSC
Nurse PractitionerTN
Family PracticePA
Nurse PractitionerKY

Reviews

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Frequently asked questions

Is BENJAMIN BARRY MAZAL (M.D.) listed with a National Provider Identifier?
Yes — BENJAMIN BARRY MAZAL (M.D.) has NPI 1144537804 on file in the registry.
Would BENJAMIN BARRY MAZAL (M.D.) appear as active to a payer?
You can treat BENJAMIN BARRY MAZAL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BENJAMIN BARRY MAZAL (M.D.)?
At a glance, BENJAMIN BARRY MAZAL (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BENJAMIN BARRY MAZAL (M.D.)?
Travel planning: use Warsaw, Missouri as the reference point for BENJAMIN BARRY MAZAL (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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