DR. BENJAMIN DANIEL CHILCZUK (MD) – Preventive Medicine/Occupational Environmental Medicine Physician, NPI 1831160886
Preventive Medicine/Occupational Environmental Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
779 ORTHOPEDIC SURGERY in WA
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Provider Addresses for DR. BENJAMIN DANIEL CHILCZUK (MD)
Metropolitan Deli & Cafe, 805, Madison Street, Central Business District, First Hill, Seattle, King County, Washington, 98104, United States
SUITE 901
SEATTLE, WA 981041172
Phone: (206) 264-8100
Fax: (206) 264-8689
Type: Mailing
Talbot Professional Center, 4011, Talbot Road South, Renton, King County, Washington, 98055, United States
SUITE 300
RENTON, WA 980555773
Phone: (425) 656-5060
Fax: (425) 656-5047
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: 2010-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100615000925 | I | Occupational Medicine | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 374 | 261 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 267 | 188 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 106 | 103 | $0 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 105 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 94 | $0 |
Insurance plans in this area (ZIP 98104)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Orthopedic Surgery, Hand Surgery | WA | |
| Occupational Therapist In Private Practice | WA | |
| - | WA | |
| Orthopedic Surgery, Sports Medicine | WA | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA |
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