BENJAMIN C GILLEN MD
NPI 1316108343
Radiology - Diagnostic Radiology in Waukesha, WI

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
W231N1440 CORPORATE CT, WAUKESHA, WI 53186(262) 896-6000(920) 288-4956 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, Jan 3, 2023, Mar 23, 2016 and 2 more (5 updates tracked since 2015).

About Benjamin C Gillen Md NPPES

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

BENJAMIN C GILLEN MD (NPI 1316108343) is an individual diagnostic radiology provider in Waukesha, Wisconsin, licensed in Wisconsin (63398) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Bay Area Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (2007).

NPPES Registry Identity

NPI1316108343
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBENJAMIN C GILLENCredential: MD
Location AddressW231N1440 CORPORATE CTWaukesha, WI 53186-1303
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 288-4956
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2007
Enumeration DateJune 23, 2008
Last NPPES UpdateJune 20, 20245 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1316108343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in WI · 63398 Licensed in MN · 51114
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 01072278A (IN), 63398 (WI)
W231N1440 CORPORATE CT, Waukesha, WI 53186

Other Identifiers 3

MedicaidENROLLEDIA
Medicaid100002569WI
MedicaidENROLLEDMN

Accepted 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 C Gillen 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 ID7911073739
PECOS Enrollment IDI20150508001768
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 39

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,330 services26 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.
279 services279 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.
279 services279 patients
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.
273 services252 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.
65 services65 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.
60 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Nurse Practitioner
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Radiology (Vascular & Interventional Radiology)
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Specialist
W231N1440 CORPORATE CT, SUITE 307
WAUKESHA, WI 53186
Pediatrics
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Nurse Practitioner
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Occupational Therapist
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Family Medicine
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Obstetrics & Gynecology
W231N1440 CORPORATE CT
WAUKESHA, WI 53186

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 Gillen's NPI number?

The NPI number for Benjamin Gillen is 1316108343. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Benjamin Gillen located?

Benjamin Gillen practices at W231n1440 Corporate Ct, Waukesha, WI 53186. The listed phone number is (262) 896-6000.

What is Benjamin Gillen's specialty?

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

Is Benjamin Gillen enrolled in Medicare?

Yes. Benjamin Gillen 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 Gillen accept?

Health plans from CareSource (Common Ground Healthcare) list Benjamin Gillen 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 Gillen affiliated with any hospitals?

According to CMS data, Benjamin Gillen is affiliated with Bay Area Medical Center, Aurora St Lukes Medical Center, Aurora Medical Center Kenosha, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Gillen was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.