BENJAMIN ROBERT ABT D.M.D., M.D.
NPI 1568697654
Dentist - Oral and Maxillofacial Surgery in Prescott, AZ

Q: What is Benjamin Abt's NPI number?

The NPI number for Benjamin Abt is 1568697654. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Q: What is Benjamin Abt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Benjamin Abt enrolled in Medicare?

No. Benjamin Abt has opted out of Medicare through October 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Abt was last updated on September 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 May 19, 2009Opted out of Medicare · through Oct 27, 2026

5415 DISTINCTION WAY, PRESCOTT, AZ 86301(928) 350-8045 Get Directions Write a Review

NPPES record last updated: September 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Benjamin Robert Abt D.m.d., M.d. NPPES

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

BENJAMIN ROBERT ABT D.M.D., M.D. (NPI 1568697654) is an individual oral and maxillofacial surgery provider in Prescott, Arizona, licensed in Arizona (8911) and active in the NPI registry since May 2009. He has opted out of Medicare through October 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568697654

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameBENJAMIN ROBERT ABTCredential: D.M.D., M.D.

Location Address5415 DISTINCTION WAYPrescott, AZ 86301-8438

Mailing Address5415 Distinction WayPrescott, AZ 86301-8438 · (928) 350-8045

Phone(928) 350-8045

Sole ProprietorNo

Enumeration DateMay 19, 2009

Last NPPES UpdateSeptember 8, 2015

✔ NPI 1568697654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in AZ · 8911✔ Licensed in AL · 5793

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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

5415 DISTINCTION WAY, Prescott, AZ 86301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Benjamin Robert Abt D.m.d., M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2016 through October 27, 2026.

Opt-Out Effective DateOctober 27, 2016

Opt-Out In Effect ThroughOctober 27, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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

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

MS. TANYA HUTCHISON

Dental Assistant

5415 DISTINCTION WAY
PRESCOTT, AZ 86301

Yavapai County (928) 350-8045

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 Abt's NPI number?

The NPI number for Benjamin Abt is 1568697654. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Benjamin Abt located?

Benjamin Abt practices at 5415 Distinction Way, Prescott, AZ 86301. The listed phone number is (928) 350-8045.

What is Benjamin Abt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Benjamin Abt enrolled in Medicare?

No. Benjamin Abt has opted out of Medicare through October 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Benjamin Abt accept?

Health plans from Delta Dental of Arizona list Benjamin Abt 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.

When was this NPI record last updated?

The NPPES record for Benjamin Abt was last updated on September 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.