DR. BENJAMIN A BASSICHIS (MD) – Facial Plastic Surgery Physician, NPI 1417918947

DR. BENJAMIN A BASSICHIS (MD) is a healthcare provider. based in Dallas, Texas. specializing in OTOLARYNGOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. K2643 (TX). The NPI Number for DR. BENJAMIN A BASSICHIS (MD) is 1417918947

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN A BASSICHIS (MD)
NPI
1417918947
Phone
(972) 774-1777
Address
14755 PRESTON RD
Enumeration Date
2 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9727741777
Graduation Year
1996 (30 years ago)
PAC ID
7517870454
Professional Enrollment ID
I20031107000296
Address ID
TX752549189DA14755RDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

892 OTOLARYNGOLOGY in TX

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Provider Addresses for DR. BENJAMIN A BASSICHIS (MD)

  • 14755, Preston Road, Dallas, Dallas County, Texas, 75254, United States

    SUITE 110

    DALLAS, TX 752546815

    Phone: (972) 774-1777

    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)

CMS reports 37 Open Payments records for all available years, with a total value of $794.

Total Amount is formed as General ($794) + Research ($0) + Ownership ($0) = $794.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($480).

Total Amount

$794

General + Research + Ownership

Payments

37

Total payment records

General Amount

$794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2003-11-07

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
I20031107000296IOtolaryngologyTXTBD

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
Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter1,26433$0
96405Administration of chemotherapy into growth, 1-7796209$0
11900Injection into skin growth, 1-7 growths795209$0
J9190Injection, fluorouracil, 500 mg794209$0
17106Destruction of birthmark, less than 10.0 sq cm345110$0
View full utilization report →

Insurance plans in this area (ZIP 75254)

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Reviews

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Frequently asked questions

Does DR. BENJAMIN A BASSICHIS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BENJAMIN A BASSICHIS (MD) uses 1417918947.
Does CMS list DR. BENJAMIN A BASSICHIS (MD) as active?
Yes — DR. BENJAMIN A BASSICHIS (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. BENJAMIN A BASSICHIS (MD)?
For research purposes, treat DR. BENJAMIN A BASSICHIS (MD) as Facial Plastic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BENJAMIN A BASSICHIS (MD) on a map?
Expect Dallas, Texas as a primary anchor for DR. BENJAMIN A BASSICHIS (MD) unless the record lists multiple sites.
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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