BENJAMIN H. ANDERSON (PA-C) – Physician Assistant, NPI 1184056624
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for BENJAMIN H. ANDERSON (PA-C)
555 BIESTERFIELD RD
ELK GROVE VILLAGE, IL 600073306
Phone: (847) 690-1776
Fax: (847) 690-1777
Type: Mailing
13225 N MERIDIAN ST
CARMEL, IN 460325480
Phone: (317) 228-7000
Fax: (317) 228-2321
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $6,823.
Total Amount is formed as General ($6,823) + Research ($0) + Ownership ($0) = $6,823.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: SI-BONE, INC. ($5,778).
Total Amount
$6,823
General + Research + Ownership
Payments
54
Total payment records
General Amount
$6,823
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $5,778 |
| Medical Device Business Services, Inc. | $454 |
| DePuy Synthes Sales Inc. | $311 |
| Boston Scientific Corporation | $127 |
| Medtronic, Inc. | $101 |
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: 2019-07-01
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 |
|---|---|---|---|---|
| I20190701000332 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 27 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 14 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 17 | 17 | $0 |
Insurance plans in this area (ZIP 60007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Geriatric Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | TX | |
| Emergency Medicine | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology) | IN | |
| - | IN |
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