BENJAMIN J BARTNICKE MD
NPI 1215924683
Radiology - Diagnostic Radiology in Little Rock, AR

Q: What is Benjamin Bartnicke's NPI number?

The NPI number for Benjamin Bartnicke is 1215924683. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is Benjamin Bartnicke's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment

500 S UNIVERSITY AVE, STE 600, LITTLE ROCK, AR 72205(501) 664-3914(501) 664-5246 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Benjamin J Bartnicke Md NPPES

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

BENJAMIN J BARTNICKE MD (NPI 1215924683) is an individual diagnostic radiology provider in Little Rock, Arkansas, licensed in Arkansas (E0015) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1989).

NPPES Registry Identity

NPI1215924683

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameBENJAMIN J BARTNICKECredential: MD

Location Address500 S UNIVERSITY AVE, STE 600Little Rock, AR 72205-5302

Mailing Address500 S University Ave, Ste 101Little Rock, AR 72205-5302 · (501) 664-3914 · Fax (501) 664-5246

Phone(501) 664-3914

Fax(501) 664-5246

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1989

Enumeration DateSeptember 30, 2005

Last NPPES UpdateDecember 6, 2011

✔ NPI 1215924683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in AR · E0015

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

500 S UNIVERSITY AVE, Little Rock, AR 72205

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Other Identifiers 3

Medicare UPINF23106

Medicare ID-Type Unspecified5J362AR

Medicaid125176001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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 J Bartnicke Md 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 ID8325101090

PECOS Enrollment IDI20090107000475

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.

Medicare Billing Reassignments

Medicare enrollment records show Benjamin Bartnicke reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Associates PA

Same address

Diagnostic Radiology

500 S UNIVERSITY AVE, SUITE 101
Little Rock, AR 72205

Reassigned Medicare billing, Arkansas enrollment
41 clinicians in this Medicare group

NPI 1366438186 (501) 664-3914

St. Vincent Medical Group

0.1 mi

Family Medicine

2 ST. VINCENT CIRCLE
Little Rock, AR 72205

Reassigned Medicare billing, Arkansas enrollment
288 clinicians in this Medicare group

NPI 1134176480 (501) 552-3571

University Of Arkansas For Medical Sciences

1.2 mi

Psychiatry

4224 SHUFFIELD DR
Little Rock, AR 72205

Reassigned Medicare billing, Arkansas enrollment
2,038 clinicians in this Medicare group

NPI 1669188157 (501) 526-8200

Chi St. Vincent Medical Group Hot Springs

46 mi

Specialist

1 MERCY LN, SUITE 201
Hot Springs, AR 71913

Reassigned Medicare billing, Arkansas enrollment
184 clinicians in this Medicare group

NPI 1831387117 (501) 609-2229

Sgoh Acquisition Inc

165 mi

Critical Access

1101 JACKSON ST SW
Gravette, AR 72736

Reassigned Medicare billing, Arkansas enrollment
95 clinicians in this Medicare group

NPI 1568643005 (479) 787-5291

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 50

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

374 services341 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

298 services298 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

292 services292 patients

Screening 3d breast mammography 77063

196 services196 patients

Screening mammography 77067

194 services194 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

85 services85 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

81 services80 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

78 services78 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

62 services61 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

58 services58 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

47 services47 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

46 services43 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

46 services46 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

45 services45 patients

Limited ultrasound scan of 1 breast 76642

42 services42 patients

Nuclear medicine study of bone and/or joint whole body 78306

A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.

42 services40 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

40 services39 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

37 services37 patients

Diagnostic mammography of 1 breast 77065

36 services35 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

34 services34 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

32 services31 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

31 services29 patients

Diagnostic mammography of both breasts 77066

30 services30 patients

X-ray of foot, minimum of 3 views 73630

29 services21 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

29 services29 patients

X-ray of chest, 2 views 71046

28 services28 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

27 services27 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

25 services25 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

23 services23 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

21 services20 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

21 services12 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

20 services20 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

20 services20 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

19 services19 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

18 services18 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

17 services17 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

17 services17 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

17 services17 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

16 services13 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

15 services15 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

15 services11 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

14 services14 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

14 services14 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

14 services14 patients

Dxa bone density measurement of hip, pelvis, spine 77080

14 services14 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

13 services13 patients

Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging 78830

A nuclear medicine study with SPECT and concurrent CT scan is a special imaging test. It uses a small amount of radioactive substance and advanced imaging techniques to create detailed pictures of your internal body structures. It aids in diagnosing and tracking the progress of treatment for various diseases.

13 services13 patients

Imaging for evaluation of swallowing function 74230

This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.

11 services11 patients

Nuclear medicine study of stomach to assess emptying 78264

A nuclear medicine study of the stomach assesses how quickly food leaves the stomach. A safe, radioactive substance is added to a meal. The radiation emitted is tracked, creating images that show the food's progress through the stomach. It's non-invasive and painless.

11 services11 patients

Nuclear medicine study of bone taken at different times 78315

A nuclear medicine bone study involves injecting a small amount of radioactive material into your body. This material collects in the bones and is detected by a special camera to create images. These images are taken at different times to track changes and help diagnose bone conditions.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

Most-billed visit code 99213

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.

DR ANIKA T WHITFIELD LLC

Podiatrist (Foot Surgery)

500 S UNIVERSITY AVE, SUITE 707
LITTLE ROCK, AR 72205

Pulaski County (501) 614-7800

DR. DONNA MELISSA GRAHAM M.D.

Allergy & Immunology

500 S UNIVERSITY AVE, SUITE 215
LITTLE ROCK, AR 72205

Pulaski County (501) 420-1085

PRIMARY CARE OF ARKANSAS CHRYSTAL JOHNSON MD

Family Medicine

500 S UNIVERSITY AVE, SUITE 515
LITTLE ROCK, AR 72205

Pulaski County (501) 666-6100

FRANCES L MCCULLOUGH RNP

Registered Nurse

500 S UNIVERSITY AVE, SUITE 815
LITTLE ROCK, AR 72205

Pulaski County (501) 663-8900

KASHAF AFZAL RASHEED MD

Internal Medicine (Nephrology)

500 S UNIVERSITY AVE, SUITE 508
LITTLE ROCK, AR 72205

Pulaski County (501) 588-1100

ST VINCENT BREAST CANCER & MAMMOGRAPHY SCREENING CENTER LLC

Clinic/Center (Radiology, Mammography)

500 S UNIVERSITY AVE, SUITE 114
LITTLE ROCK, AR 72205

Pulaski County (501) 661-9766

JODI M BARBOZA MD

Radiology (Diagnostic Radiology)

500 S UNIVERSITY AVE, SUITE 101
LITTLE ROCK, AR 72205

Pulaski County (501) 664-3914

MIKE C UMERAH MD

Physical Medicine & Rehabilitation

500 S UNIVERSITY AVE, SUITE 705
LITTLE ROCK, AR 72205

Pulaski County (501) 664-2991

ROBERT D DALBY M.D.

Anesthesiology

500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4532

LINDA YOUNG CRNA

Nurse Anesthetist, Certified Registered

500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4532

JEFF PINTO

Nurse Practitioner (Acute Care)

500 S UNIVERSITY AVE
LITTLE ROCK, AR 72205

Pulaski County (501) 588-1100

ROBERT MAJORS CRNA

Nurse Anesthetist, Certified Registered

500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4532

PHYLLIS A BEARDEN CRNA

Nurse Anesthetist, Certified Registered

500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4532

DR. DOUGLAS E. ELLIOTT M.D.

Radiology (Vascular & Interventional Radiology)

500 S UNIVERSITY AVE, SUITE 600
LITTLE ROCK, AR 72205

Pulaski County (501) 664-3914

SHANNON R TURNER MD

Radiology (Diagnostic Radiology)

500 S UNIVERSITY AVE, STE 101
LITTLE ROCK, AR 72205

Pulaski County (501) 664-3914

MS. NANCY CLAWITTER CRNA

Nurse Anesthetist, Certified Registered

500 S UNIVERSITY AVE
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4532

SUSAN SCHMITZ M.D.

Pediatrics

500 S UNIVERSITY AVE, SUITE 400
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4044

DAVID GEORGE JONG MD

Radiology (Diagnostic Radiology)

500 S UNIVERSITY AVE, SUITE #101
LITTLE ROCK, AR 72205

Pulaski County (501) 664-3914

ERIKA M. LOVELESS CRNA

Nurse Anesthetist, Certified Registered

500 S UNIVERSITY AVE, STE 505
LITTLE ROCK, AR 72205

Pulaski County (501) 664-4532

DR. INGE CARTER MD

Family Medicine

500 S UNIVERSITY AVE, SUITE 521
LITTLE ROCK, AR 72205

Pulaski County (501) 663-9994

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 Bartnicke's NPI number?

The NPI number for Benjamin Bartnicke is 1215924683. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Benjamin Bartnicke located?

Benjamin Bartnicke practices at 500 S University Ave Ste 600, Little Rock, AR 72205. The listed phone number is (501) 664-3914.

What is Benjamin Bartnicke's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Benjamin Bartnicke enrolled in Medicare?

Yes. Benjamin Bartnicke 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 Bartnicke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Bartnicke reassigns Medicare benefits to 5 organizations: Radiology Associates PA (Little Rock, AR), St. Vincent Medical Group (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR), Chi St. Vincent Medical Group Hot Springs (Hot Springs, AR) and Sgoh Acquisition Inc (Gravette, AR). 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 Bartnicke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Bartnicke accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Benjamin Bartnicke 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.

When was this NPI record last updated?

The NPPES record for Benjamin Bartnicke was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.