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BENJAMIN GLINES I DO
NPI 1174017180
Emergency Medicine in South Bend, IN

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment
615 N MICHIGAN ST, SOUTH BEND, IN 46601(574) 647-1000 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 5, 2025, Dec 27, 2022, Nov 14, 2022 and 5 more (8 updates tracked since 2018).

About Benjamin Glines I Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN GLINES I DO (NPI 1174017180) is an individual emergency medicine provider in South Bend, Indiana, licensed in Ohio (34.017663) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Wyandotte Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1174017180
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBENJAMIN GLINES ICredential: DO
Location Address615 N MICHIGAN STSouth Bend, IN 46601-1033
Mailing Address615 N Michigan StSouth Bend, IN 46601-1033 · (574) 647-1000
Phone(574) 647-1000
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 22, 2018
Last NPPES UpdateMarch 5, 20258 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1174017180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OH · 34.017663✔ Licensed in IN · 02006673A✔ Licensed in MI · 5101026354
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
615 N MICHIGAN ST, South Bend, IN 46601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Glines I Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941556930
PECOS Enrollment IDI20210809002722, I20250312002609
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
194 services192 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services64 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services58 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
30 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON MICHAEL MOJICA CRNA
Nurse Anesthetist, Certified Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 612-2476
RACHEL ANN JENNINGS NP
Nurse Practitioner
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
DR. GEVORG MARTIROSYAN PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3119
BRANDON WELLER MD
Ophthalmology
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1000
MELINDA DEUBNER PHARMD
Pharmacist (Critical Care)
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6302
MELISSA MARIE GLASER RN
Registered Nurse (Case Management)
615 N MICHIGAN ST, MEMORIAL HOSPITAL- COMMUNITY HEALTH ENHANCEMENT
SOUTH BEND, IN 46601
St. Joseph County (574) 647-2173
MRS. NANCY ANN TAGHON RD
Dietitian, Registered
615 N MICHIGAN ST
SOUTH BEND, IN 46601
St. Joseph County (574) 647-6351
DR. NICHOLAS HAROLD KERR DO
Family Medicine (Hospice and Palliative Medicine)
615 N MICHIGAN ST, 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Glines's NPI number?

The NPI number for Benjamin Glines is 1174017180. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Benjamin Glines located?

Benjamin Glines practices at 615 N Michigan St, South Bend, IN 46601. The listed phone number is (574) 647-1000.

What is Benjamin Glines's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Glines enrolled in Medicare?

Yes. Benjamin Glines is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Benjamin Glines accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Priority Health list Benjamin Glines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Benjamin Glines affiliated with any hospitals?

According to CMS data, Benjamin Glines is affiliated with Henry Ford Health Wyandotte Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Glines was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.