BENJAMIN SCOTT BACON MD
NPI 1386263168
Pediatrics in Indianapolis, IN

Q: What is Benjamin Bacon's NPI number?

The NPI number for Benjamin Bacon is 1386263168. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Benjamin Bacon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Bacon was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-4034 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Jun 23, 2023, Apr 13, 2020 (3 updates tracked since 2020).

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About Benjamin Scott Bacon Md NPPES

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

BENJAMIN SCOTT BACON MD (NPI 1386263168) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01090630A) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana University School Of Medicine (2020).

NPPES Registry Identity

NPI1386263168

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBENJAMIN SCOTT BACONCredential: MD

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address705 Riley Hospital DrIndianapolis, IN 46202-5109

Phone(317) 944-4034

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2020

Enumeration DateApril 13, 2020

Last NPPES UpdateMay 9, 20253 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1386263168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01090630A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Locations 2

Location 12625 E 62nd St Ste 2010Indianapolis, IN 46220-0037 · Phone (317) 251-6121 · Fax (317) 257-0390

Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Medicaid300039354IN

Other1103117458IN · Anthem Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Scott Bacon 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 ID8022430016

PECOS Enrollment IDI20230627001213

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)