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BENJAMIN FRITZ M.D.
NPI 1265482772
Internal Medicine - Nephrology in Santa Rosa, CA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
2301 CIRCADIAN WAY, SUITE A, SANTA ROSA, CA 95407(707) 526-2027(707) 526-2096 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2021, Sep 3, 2020 (2 updates tracked since 2020).

About Benjamin Fritz M.d. NPPES

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

BENJAMIN FRITZ M.D. (NPI 1265482772) is an individual nephrology provider in Santa Rosa, California, licensed in Montana (MED-PHYS-LIC-88487) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains a secondary practice location in Missoula.

NPPES Registry Identity

NPI1265482772
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameBENJAMIN FRITZCredential: M.D.
Location Address2301 CIRCADIAN WAY, SUITE ASanta Rosa, CA 95407-5416
Mailing Address2301 Circadian Way, Suite ASanta Rosa, CA 95407-5416 · (707) 526-2027 · Fax (707) 526-2096
Phone(707) 526-2027
Fax(707) 526-2096
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1997
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1265482772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MT · MED-PHYS-LIC-88487
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedSpecialistTaxonomy 174400000X · License A66856 (CA)
2301 CIRCADIAN WAY, Santa Rosa, CA 95407
Open in Google Maps ↗

Secondary Practice Location 1

Location 13055 N Reserve St Ste DMissoula, MT 59808-1395 · Phone (406) 327-7000 · Fax (406) 329-1927

Other Identifiers 1

Medicaid00A66856CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mountain Health CO-OP, Providence Health Plan.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 Fritz M.d. 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 ID3678590502
PECOS Enrollment IDI20080606000206, I20200910000979
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
512 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
238 services94 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
185 services167 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
78 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95407 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%584 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
52%31 patients3/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%428 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
64%311 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%311 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
36%311 patients3/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers31 claims3,990 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers11 claims1,650 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers24 claims4,200 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers33 claims33 services$17.25 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
8 suppliers33 claims38 services$11.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

NEPHROLOGY ASSOCIATES
Specialist
2301 CIRCADIAN WAY, SUITE A
SANTA ROSA, CA 95407
Sonoma County (707) 526-2027
WELLBOUND OF SANTA ROSA LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2301 CIRCADIAN WAY, SUITE B
SANTA ROSA, CA 95407
Sonoma County (707) 541-3410
GOPA GREEN M.D.
Specialist
2301 CIRCADIAN WAY, SUITE A
SANTA ROSA, CA 95407
Sonoma County (707) 526-2027
JAMES ROBERTSON M.D.
Specialist
2301 CIRCADIAN WAY, SUITE A
SANTA ROSA, CA 95407
Sonoma County (707) 526-2027
ERIC L CHEUNG M.D.
Internal Medicine (Nephrology)
2301 CIRCADIAN WAY, SUITE A
SANTA ROSA, CA 95407
Sonoma County (707) 526-2027
DESMOND SHAPIRO M.D.
Specialist
2301 CIRCADIAN WAY, SUITE A
SANTA ROSA, CA 95407
Sonoma County (707) 526-2027
SATELLITE HEALTHCARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2301 CIRCADIAN WAY, SUITE C
SANTA ROSA, CA 95407
Sonoma County (707) 526-0717
KATHLEEN M DUTTON FNP
Registered Nurse
2301 CIRCADIAN WAY, SUITE A
SANTA ROSA, CA 95407
Sonoma County (707) 526-2027

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 Fritz's NPI number?

The NPI number for Benjamin Fritz is 1265482772. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Benjamin Fritz located?

Benjamin Fritz practices at 2301 Circadian Way Suite A, Santa Rosa, CA 95407. The listed phone number is (707) 526-2027.

What is Benjamin Fritz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Benjamin Fritz enrolled in Medicare?

Yes. Benjamin Fritz 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 Fritz accept?

Health plans from Mountain Health CO-OP and Providence Health Plan list Benjamin Fritz 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 Fritz affiliated with any hospitals?

According to CMS data, Benjamin Fritz is affiliated with St. Patrick Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Fritz was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.