BENJAMIN JOHN GILLIOTTE (MD) – Physical Medicine & Rehabilitation Physician, NPI 1184626855

BENJAMIN JOHN GILLIOTTE (MD) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 35.056649 (OH). The NPI Number for BENJAMIN JOHN GILLIOTTE (MD) is 1184626855

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN JOHN GILLIOTTE (MD)
NPI
1184626855
Phone
(937) 208-2020
Address
30 E APPLE ST
Enumeration Date
12 August 2005
Last Update Date
15 November 2013

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
7404544712
Graduation Year
1984 (42 years ago)
PAC ID
7618019548
Group Practice PAC ID
7719040385
Professional Enrollment ID
I20100115000092
Address ID
OH437011762ZA2945XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

510 PHYSICAL MEDICINE AND REHABILITATION in OH

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Provider Addresses for BENJAMIN JOHN GILLIOTTE (MD)

  • 30, East Apple Street, South Park Historic District, Dayton, Montgomery County, Ohio, 45409, United States

    STE L200

    DAYTON, OH 454092932

    Phone: (937) 208-2020

    Fax: (937) 208-2109

    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)

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: 2010-01-15

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
I20100115000092IPhysical Medicine And RehabilitationOHTBD

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
95886Needle measurement of electrical activity in arm or leg muscles, complete study221140$0
95911Nerve conduction, 9-10 studies4242$0
95885Needle measurement of electrical activity in arm or leg muscles, limited study3831$0
95909Nerve conduction, 5-6 studies3232$0
95910Nerve conduction, 7-8 studies3030$0
View full utilization report →

Insurance plans in this area (ZIP 45409)

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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: 7719040385View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationOH
U R O L O G YOH
-OH
Orthopedic SurgeryCA
-OH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Urology, Obstetrics/GynecologyOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to BENJAMIN JOHN GILLIOTTE (MD)?
The federal identifier for BENJAMIN JOHN GILLIOTTE (MD) is NPI 1184626855.
Is BENJAMIN JOHN GILLIOTTE (MD) active in the national directory?
BENJAMIN JOHN GILLIOTTE (MD)'s public NPI profile is in an active state.
Does BENJAMIN JOHN GILLIOTTE (MD) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for BENJAMIN JOHN GILLIOTTE (MD). Clinical services aligned with this taxonomy classification.
Where is BENJAMIN JOHN GILLIOTTE (MD)'s primary listing?
We display Dayton, Ohio because that is what the record indicates for BENJAMIN JOHN GILLIOTTE (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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