BENJAMIN RUSSELL BACH (PA) – Physician Assistant, NPI 1346750064

BENJAMIN RUSSELL BACH (PA) is a healthcare provider. based in Frisco, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA11467 (TX). The NPI Number for BENJAMIN RUSSELL BACH (PA) is 1346750064

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN RUSSELL BACH (PA)
NPI
1346750064
Phone
Not provided
Address
13025 PRELUDE DR
Enumeration Date
8 October 2017
Last Update Date
8 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172849850121
Graduation Year
2017 (9 years ago)
PAC ID
4880951383
Group Practice PAC ID
2365457306
Professional Enrollment ID
I20171207001535
Address ID
TX750755715PL3600XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for BENJAMIN RUSSELL BACH (PA)

  • 13025, Prelude Drive, Frisco, Collin County, Texas, United States

    FRISCO, TX 750352224

    Phone:

    Type: Mailing

  • 7062, Highlands Lane, Tyler, Smith County, Texas, 75703, United States

    TYLER, TX 757030590

    Phone: (903) 483-1090

    Type: Location

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: 2017-12-07

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
I20171207001535IPhysician AssistantTXTBD

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes685100$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15045$0
99239Hospital discharge day management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 75035)

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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: 2365457306View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

How do I look up BENJAMIN RUSSELL BACH (PA) by NPI?
Use NPI 1346750064 when you need to reference BENJAMIN RUSSELL BACH (PA) in forms, claims, or directories.
Does this profile mean BENJAMIN RUSSELL BACH (PA) is currently active?
Yes — BENJAMIN RUSSELL BACH (PA) appears active in the national provider directory.
Does BENJAMIN RUSSELL BACH (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for BENJAMIN RUSSELL BACH (PA). Clinical services aligned with this taxonomy classification.
Does BENJAMIN RUSSELL BACH (PA) practice in Texas?
You will see Frisco, Texas on file for BENJAMIN RUSSELL BACH (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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