DR. GARY EUGENE BENEDETTI (M.D.) – Orthopaedic Surgery Physician, NPI 1598746604

DR. GARY EUGENE BENEDETTI (M.D.) is a healthcare provider. based in Antigo, Wisconsin. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MC-2704 (ID). The NPI Number for DR. GARY EUGENE BENEDETTI (M.D.) is 1598746604

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY EUGENE BENEDETTI (M.D.)
NPI
1598746604
Phone
(715) 623-2331
Address
112 EAST FIFTH AVE
Enumeration Date
7 November 2005
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
2532747504
Graduation Year
1990 (36 years ago)
PAC ID
0941218887
Group Practice PAC ID
0547173866
Professional Enrollment ID
I20260212000274
Address ID
WA984054930TA1608XSTXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Digital endpointsOther names

780 ORTHOPEDIC SURGERY in WA

Provider Addresses for DR. GARY EUGENE BENEDETTI (M.D.)

  • 112 EAST FIFTH AVE

    ANTIGO, WI 544092710

    Phone: (715) 623-2331

    Fax: (907) 745-2600

    Type: Mailing

  • 1608 S J St Fl 4

    Tacoma, WA 984054930

    Phone: (253) 274-7504

    Fax: (235) 274-7994

    Type: Location

  • PO BOX 5479

    FRISCO, CO 804435479

    Phone: (715) 216-7790

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $281.

Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Bone Support Inc. ($137).

Total Amount

$281

General + Research + Ownership

Payments

4

Total payment records

General Amount

$281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2026-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20191015001946IOrthopedic SurgeryCOTBD
I20240411000986IOrthopedic SurgeryIDTBD
I20251001003252IOrthopedic SurgeryWYTBD
I20260212000274IOrthopedic SurgeryWATBD

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 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 54409)

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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: 0547173866View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. GARY EUGENE BENEDETTI (M.D.)?
Save NPI 1598746604 if you need a stable reference for DR. GARY EUGENE BENEDETTI (M.D.).
Is DR. GARY EUGENE BENEDETTI (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. GARY EUGENE BENEDETTI (M.D.) work in?
You can think of DR. GARY EUGENE BENEDETTI (M.D.) as practicing within Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. GARY EUGENE BENEDETTI (M.D.) practice in Wisconsin?
You will see Antigo, Wisconsin on file for DR. GARY EUGENE BENEDETTI (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.