BENJAMIN WITKOFF – MOHS-Micrographic Surgery Physician, NPI 1700346509

BENJAMIN WITKOFF is a healthcare provider. based in Gahanna, Ohio. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold a License No. OS17461 (FL). The NPI Number for BENJAMIN WITKOFF is 1700346509

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN WITKOFF
NPI
1700346509
Phone
(614) 312-9642
Address
212 DEER MEADOW DR
Enumeration Date
20 March 2019
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075661616
Graduation Year
2019 (7 years ago)
PAC ID
9436535788
Group Practice PAC ID
9234239757
Professional Enrollment ID
I20221010003263
Address ID
FL328365409OR8690XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

145 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in FL

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Provider Addresses for BENJAMIN WITKOFF

  • 212, Deer Meadow Drive, Gahanna, Mifflin Township, Ohio, 43230, United States

    GAHANNA, OH 432306117

    Phone: (614) 312-9642

    Type: Mailing

  • Larkin Community Hospital Palm Springs Campus, 1475, West 49th Place, Hialeah, Miami-Dade County, Florida, 33012, United States

    HIALEAH, FL 330123113

    Phone: (305) 558-2500

    Type: Location

  • 1111 LINCOLN RD STE 375

    MIAMI BEACH, FL 331392407

    Phone: (352) 365-6650

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $3,813.

Total Amount is formed as General ($3,813) + Research ($0) + Ownership ($0) = $3,813.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($1,031).

Total Amount

$3,813

General + Research + Ownership

Payments

79

Total payment records

General Amount

$3,813

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2025-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20221010003263IMicrographic Dermatologic Surgery (Mds)FLTBD
I20250605000754IDermatologyNYTBD
I20250724004415IDermatologyNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43230)

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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: 9234239757View full group profile
NameSpecialtyState
Physician AssistantNY
D E R M A T O L O G YFL
Physician AssistantFL
D E R M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

What number should I use to identify BENJAMIN WITKOFF for billing?
Administrative and clinical systems typically use NPI 1700346509 for BENJAMIN WITKOFF.
Is BENJAMIN WITKOFF's NPI status active today?
Active status means BENJAMIN WITKOFF's NPI record is not deactivated in the public file.
What does the directory say BENJAMIN WITKOFF does?
Insurance directories may phrase it differently, but here BENJAMIN WITKOFF maps to MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to BENJAMIN WITKOFF?
BENJAMIN WITKOFF shows a connection to Gahanna, Ohio in registry-derived data.
Who maintains BENJAMIN WITKOFF's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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