BENJAMIN GLINES I DO
NPI 1174017180
Emergency Medicine in South Bend, IN
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Benjamin Glines reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington Hills, MI 48336
- Reassigned Medicare billing, Michigan enrollment
- 20 clinicians in this Medicare group
Wyandotte, MI 48192
- Reassigned Medicare billing, Michigan enrollment
- 57 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MIMagruder Hospital
Critical Access Hospitals · Port Clinton, OHPhysician 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.
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.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
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.
Which organizations bill Medicare for Benjamin Glines's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Glines reassigns Medicare benefits to 3 organizations: Farmington Emergency Medicine Associates PLLC (Farmington Hills, MI), Epmg Downriver PLLC (Wyandotte, MI) and Emergency Professional Services, Inc. (Seaman, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Glines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 19 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.
# Benjamin Glines I, DO · NPI 1174017180
Emergency Medicine physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since June 22, 2018.
## Identity
- **NPI:** 1174017180 (Entity type: Individual)
- **Enumerated:** June 22, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 34.017663 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 615 N MICHIGAN ST, South Bend, IN 46601-1033
- **Phone:** (574) 647-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Farmington Emergency Medicine Associates PLLC (NPI 1568496370, Farmington Hills, MI); Epmg Downriver PLLC (NPI 1093085441, Wyandotte, MI); Emergency Professional Services, Inc. (NPI 1093762353, Seaman, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2018
## Record status
- **NPPES last updated:** March 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174017180) · Data from the CMS NPPES public registry.