BENJAMIN BAUTZ (MD) – Emergency Medicine Physician, NPI 1124440573

BENJAMIN BAUTZ (MD) is a healthcare provider. based in New york, New York. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 282946 (MA). The NPI Number for BENJAMIN BAUTZ (MD) is 1124440573

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN BAUTZ (MD)
NPI
1124440573
Phone
(212) 420-3948
Address
10 NATHAN D PERLMAN PL
Enumeration Date
18 January 2014
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
97868340002979
Graduation Year
2016 (10 years ago)
PAC ID
4183995947
Group Practice PAC ID
5092725200
Professional Enrollment ID
I20201013003373
Address ID
MA018412961LA1XXXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,917 EMERGENCY MEDICINE in NY

Provider Addresses for BENJAMIN BAUTZ (MD)

  • 10 NATHAN D PERLMAN PL

    MOUNT SINAI BETH ISRAEL

    NEW YORK, NY 100033851

    Phone: (212) 420-3948

    Type: Mailing

  • 1 GENERAL ST

    LAWRENCE, MA 018412997

    Phone: (978) 683-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-10-13

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
I20201013003373IEmergency MedicineMATBD

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
99284Emergency department visit with moderate level of medical decision making10099$0
99285Emergency department visit with high level of medical decision making9895$0
99283Emergency department visit with low level of medical decision making6663$0
99291Critical care, first 30-74 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 10003)

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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: 5092725200View full group profile
NameSpecialtyState
-MA
Emergency MedicineTX
Internal MedicineMA
Emergency MedicineMI
Internal MedicineNY
Nurse PractitionerMA
Nurse PractitionerNH
Emergency MedicineMA
Internal MedicineMA
Internal MedicineIL

Reviews

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Frequently asked questions

Can I verify BENJAMIN BAUTZ (MD) with an NPI only?
You can start verification with NPI 1124440573 for BENJAMIN BAUTZ (MD), then check state licensing separately.
Can I rely on BENJAMIN BAUTZ (MD) being an active provider?
As of the registry snapshot, BENJAMIN BAUTZ (MD) is marked active.
What is BENJAMIN BAUTZ (MD) best known for clinically?
Directory data describes BENJAMIN BAUTZ (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does BENJAMIN BAUTZ (MD) list a practice location?
Patients near New York, New York may find BENJAMIN BAUTZ (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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