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DR. BENJAMIN A ABEYTA M.D.
NPI 1447511597
Family Medicine - Sports Medicine in Wauwatosa, WI

Active since June 05, 2012PECOS EnrolledAccepts Medicare Assignment
2999 N MAYFAIR RD, WAUWATOSA, WI 53222(414) 479-7000(414) 479-7001 Get Directions Write a Review

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

Record update history: Nov 18, 2021, Apr 4, 2019, Mar 14, 2018 (3 updates tracked since 2018).

About Dr. Benjamin A Abeyta M.d. NPPES

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

DR. BENJAMIN A ABEYTA M.D. (NPI 1447511597) is an individual sports medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (65699) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and is a graduate of University Of Wisconsin School Of Medicine (2012).

NPPES Registry Identity

NPI1447511597
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. BENJAMIN A ABEYTACredential: M.D.
Location Address2999 N MAYFAIR RDWauwatosa, WI 53222-4306
Mailing Address2999 N Mayfair RdWauwatosa, WI 53222-4306 · (414) 479-7000 · Fax (414) 479-7001
Phone(414) 479-7000
Fax(414) 479-7001
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2012
Enumeration DateJune 5, 2012
Last NPPES UpdateNovember 18, 20213 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1447511597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in WI · 65699
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 65699 (WI)
2999 N MAYFAIR RD, Wauwatosa, WI 53222
Open in Google Maps ↗

Other Identifiers 1

Other65699WI · Wi State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Dr. Benjamin A Abeyta 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 ID6002100500
PECOS Enrollment IDI20160805001412
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 9

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,800 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
69 services69 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
68 services49 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.
52 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services38 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

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

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee 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 53222 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

LINDA SNYDER
Physical Therapist (Orthopedic)
2999 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 479-1945
MEGAN E WILEY DPT
Physical Therapist
2999 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 479-3737
DR. LUKE JEFFERY WIRKUS DPT
Physical Therapist
2999 N MAYFAIR RD, SUITE 300
WAUWATOSA, WI 53222
Milwaukee County (414) 479-3747
JOHN CHENG PT
Physical Therapist
2999 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 479-3737
STACEY SIPIORSKI
Physical Therapist
2999 N MAYFAIR RD, SUITE 300
WAUWATOSA, WI 53222
Milwaukee County (414) 479-3737
ELISE NICKEL
Physical Therapy Assistant
2999 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 479-3737
DIANE M. FOTI OTR, CHT
Occupational Therapist
2999 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 479-7304
SEAN PATRICK WALSH-RYNDERS
Physical Therapy Assistant
2999 N MAYFAIR RD
WAUWATOSA, WI 53222
Milwaukee County (414) 479-7000

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 Abeyta's NPI number?

The NPI number for Benjamin Abeyta is 1447511597. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Benjamin Abeyta located?

Benjamin Abeyta practices at 2999 N Mayfair Rd, Wauwatosa, WI 53222. The listed phone number is (414) 479-7000.

What is Benjamin Abeyta's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Benjamin Abeyta enrolled in Medicare?

Yes. Benjamin Abeyta 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 Abeyta accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Benjamin Abeyta 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 Abeyta affiliated with any hospitals?

According to CMS data, Benjamin Abeyta is affiliated with Aurora Medical Ctr Washington County, Aurora St Lukes Medical Center, West Allis Memorial Hospital and Aurora Medical Center.

When was this NPI record last updated?

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