DR. BENJAMIN PAUL JAQUISH (M.D.) – Vascular Surgery Physician, NPI 1194027037

DR. BENJAMIN PAUL JAQUISH (M.D.) is a healthcare provider. based in Temple, Texas. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 4301094774 (MI). The NPI Number for DR. BENJAMIN PAUL JAQUISH (M.D.) is 1194027037

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN PAUL JAQUISH (M.D.)
NPI
1194027037
Phone
(775) 750-6083
Address
2401 S 31ST ST
Enumeration Date
29 November 2010
Last Update Date
13 June 2016

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7757863040
Graduation Year
2009 (17 years ago)
PAC ID
0941591655
Group Practice PAC ID
2567355316
Professional Enrollment ID
I20160627001662
Address ID
NV895034723RE555XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

492 VASCULAR SURGERY in TX

Provider Addresses for DR. BENJAMIN PAUL JAQUISH (M.D.)

  • 2401 S 31ST ST

    MS-01-390F

    TEMPLE, TX 765080001

    Phone: (775) 750-6083

    Type: Location

  • 75 PRINGLE WAY

    STE 1002

    RENO, NV 895021475

    Phone: (775) 323-7500

    Fax: (775) 789-9208

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $2,354.

Total Amount is formed as General ($2,354) + Research ($0) + Ownership ($0) = $2,354.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Shockwave Medical, Inc ($1,050).

Total Amount

$2,354

General + Research + Ownership

Payments

19

Total payment records

General Amount

$2,354

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2016-06-27

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
I20160627001662IGeneral SurgeryNVTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes6261$0
99212Established patient office or other outpatient visit, 10-19 minutes5950$0
99213Established patient office or other outpatient visit, 20-29 minutes4943$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3736$0
36200Insertion of tube into aorta3131$0
View full utilization report →

Insurance plans in this area (ZIP 76508)

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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: 2567355316View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Nurse PractitionerNV
Hand SurgeryNV
Orthopedic SurgeryNC
-NV
Occupational Therapist In Private PracticeNV
Orthopedic SurgeryNV
Orthopedic SurgeryNV
Physician AssistantNV

Reviews

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Frequently asked questions

How is DR. BENJAMIN PAUL JAQUISH (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BENJAMIN PAUL JAQUISH (M.D.) with NPI 1194027037.
Does the file indicate DR. BENJAMIN PAUL JAQUISH (M.D.) is practicing under active NPI?
Directory data currently reports DR. BENJAMIN PAUL JAQUISH (M.D.) as active.
What is DR. BENJAMIN PAUL JAQUISH (M.D.) best known for clinically?
Directory data describes DR. BENJAMIN PAUL JAQUISH (M.D.) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. BENJAMIN PAUL JAQUISH (M.D.) list a practice location?
Patients near Temple, Texas may find DR. BENJAMIN PAUL JAQUISH (M.D.) 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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