BENJAMIN JAMES BAIRD (P.A.-C.) – Surgical Physician Assistant, NPI 1417252990

BENJAMIN JAMES BAIRD (P.A.-C.) is a healthcare provider. based in Roseburg, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C.. They hold a License No. PA172681 (OR). The NPI Number for BENJAMIN JAMES BAIRD (P.A.-C.) is 1417252990

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN JAMES BAIRD (P.A.-C.)
NPI
1417252990
Phone
(541) 391-8155
Address
1813 W HARVARD AVE STE 110
Enumeration Date
14 January 2011
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413918155
Graduation Year
2010 (16 years ago)
PAC ID
6103007406
Group Practice PAC ID
4183006380
Professional Enrollment ID
I20150709002409
Address ID
OR974712753RO1813XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for BENJAMIN JAMES BAIRD (P.A.-C.)

  • 1813 W HARVARD AVE STE 110

    ROSEBURG, OR 974712753

    Phone: (541) 391-8155

    Fax: (541) 391-8154

    Type: Mailing

  • 2460 NW STEWART PKWY

    STE 100

    ROSEBURG, OR 974711516

    Phone: (541) 229-2663

    Fax: (541) 229-0213

    Type: Location

  • 2801 NW MERCY DR

    STE. 340

    ROSEBURG, OR 974712348

    Phone: (541) 677-4319

    Fax: (541) 677-2294

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $1,380.

Total Amount is formed as General ($1,380) + Research ($0) + Ownership ($0) = $1,380.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: MEDACTA USA, INC. ($1,223).

Total Amount

$1,380

General + Research + Ownership

Payments

14

Total payment records

General Amount

$1,380

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2015-07-09

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
I20150709002409IPhysician 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
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg1,62619$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,094139$0
20610Aspiration and/or injection of fluid from large joint338133$0
99213Established patient office or other outpatient visit, 20-29 minutes206155$0
64640Destruction of peripheral nerve or branch17032$0
View full utilization report →

Insurance plans in this area (ZIP 97471)

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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: 4183006380View full group profile
NameSpecialtyState
P O D I A T R YOR
Orthopedic SurgeryOR

Reviews

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Frequently asked questions

How do I look up BENJAMIN JAMES BAIRD (P.A.-C.) by NPI?
Use NPI 1417252990 when you need to reference BENJAMIN JAMES BAIRD (P.A.-C.) in forms, claims, or directories.
Does this profile mean BENJAMIN JAMES BAIRD (P.A.-C.) is currently active?
Yes — BENJAMIN JAMES BAIRD (P.A.-C.) appears active in the national provider directory.
What field does BENJAMIN JAMES BAIRD (P.A.-C.) work in?
You can think of BENJAMIN JAMES BAIRD (P.A.-C.) as practicing within Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for BENJAMIN JAMES BAIRD (P.A.-C.)?
We surface Roseburg, Oregon for BENJAMIN JAMES BAIRD (P.A.-C.) based on available NPPES addresses.
Is BENJAMIN JAMES BAIRD (P.A.-C.) a real provider?
This page reflects official NPPES data for NPI 1417252990. Always confirm identity and privileges with the practice and licensing boards.

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