BENJAMIN LURIE MD
NPI 1306473285
Orthopaedic Surgery - Sports Medicine in Santa Rosa, CA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
208 CONCOURSE BLVD, SANTA ROSA, CA 95403(707) 544-3400 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 27, 2026, Mar 23, 2020 (2 updates tracked since 2020).

About Benjamin Lurie Md NPPES

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

BENJAMIN LURIE MD (NPI 1306473285) is an individual sports medicine provider in Santa Rosa, California, licensed in California (A185133) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2020).

NPPES Registry Identity

NPI1306473285
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameBENJAMIN LURIECredential: MD
Location Address208 CONCOURSE BLVDSanta Rosa, CA 95403-8210
Mailing Address208 Concourse BlvdSanta Rosa, CA 95403-8210 · (707) 544-3400
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1306473285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CA · A185133
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
208 CONCOURSE BLVD, Santa Rosa, CA 95403

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 Lurie 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 ID4183043300
PECOS Enrollment IDI20260717003097
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 Reassignment

Medicare enrollment records show Benjamin Lurie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
208 CONCOURSE BLVD, SUITE #1
Santa Rosa, CA 95403
  • Reassigned Medicare billing, California enrollment
  • 10 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.

Other Providers at the Same Location NPPES 10

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

Physician Assistant (Surgical)
208 CONCOURSE BLVD, SUITE 1
SANTA ROSA, CA 95403
Specialist
208 CONCOURSE BLVD, #1
SANTA ROSA, CA 95403
Physician Assistant (Medical)
208 CONCOURSE BLVD
SANTA ROSA, CA 95403
Specialist
208 CONCOURSE BLVD, SUITE #1
SANTA ROSA, CA 95403
Specialist
208 CONCOURSE BLVD, SUITE #1
SANTA ROSA, CA 95403
Specialist
208 CONCOURSE BLVD, #1
SANTA ROSA, CA 95403
Physical Therapist
208 CONCOURSE BLVD
SANTA ROSA, CA 95403
Physical Therapist
208 CONCOURSE BLVD, SUITE 2
SANTA ROSA, CA 95403

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 Lurie's NPI number?

The NPI number for Benjamin Lurie is 1306473285. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Benjamin Lurie located?

Benjamin Lurie practices at 208 Concourse Blvd, Santa Rosa, CA 95403. The listed phone number is (707) 544-3400.

What is Benjamin Lurie's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Benjamin Lurie enrolled in Medicare?

Yes. Benjamin Lurie 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 organization bills Medicare for Benjamin Lurie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Lurie reassigns Medicare benefits to Redwood Orthopaedic Surgery Associates Amc (Santa Rosa, CA). The 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 Lurie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Lurie was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.