MR. BENJAMIN MOSS (PA-C) – Physician Assistant, NPI 1134453418

MR. BENJAMIN MOSS (PA-C) is a healthcare provider. based in Grants pass, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA174622 (OR). The NPI Number for MR. BENJAMIN MOSS (PA-C) is 1134453418

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. BENJAMIN MOSS (PA-C)
NPI
1134453418
Phone
(541) 476-6644
Address
495 SW RAMSEY AVE.
Enumeration Date
20 September 2009
Last Update Date
12 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414766644
Graduation Year
2004 (22 years ago)
PAC ID
1456527357
Group Practice PAC ID
9234123977
Professional Enrollment ID
I20160104000814
Address ID
OR975275681GR495XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for MR. BENJAMIN MOSS (PA-C)

  • 495, Ramsey Avenue, Grants Pass, Josephine County, Oregon, 97527, United States

    GRANTS PASS, OR 975275681

    Phone: (541) 476-6644

    Fax: (541) 472-5673

    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: 2016-01-04

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
I20160104000814IPhysician AssistantORTBD

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
36415Insertion of needle into vein for collection of blood sample328188$0
99214Established patient office or other outpatient visit, 30-39 minutes233155$0
80053Blood test, comprehensive group of blood chemicals177156$0
99213Established patient office or other outpatient visit, 20-29 minutes145112$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count139118$0
View full utilization report →

Insurance plans in this area (ZIP 97527)

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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: 9234123977View full group profile
NameSpecialtyState
-OR
Family PracticeOR
Physician AssistantOR
Family PracticeOR
Internal MedicineOR
Family PracticeGA
General SurgeryOR
P O D I A T R YOR
Internal MedicineOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the standard ID for MR. BENJAMIN MOSS (PA-C) in the U.S.?
In the U.S., MR. BENJAMIN MOSS (PA-C) is identified by NPI 1134453418.
Is MR. BENJAMIN MOSS (PA-C)'s NPI status active today?
Active status means MR. BENJAMIN MOSS (PA-C)'s NPI record is not deactivated in the public file.
What type of care does MR. BENJAMIN MOSS (PA-C) provide?
MR. BENJAMIN MOSS (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. BENJAMIN MOSS (PA-C)?
MR. BENJAMIN MOSS (PA-C) is associated with Grants Pass, Oregon in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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