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BENJAMIN MAXIMILIAN VANNORDEN TARTTER
NPI 1720668031
Emergency Medicine in Biloxi, MS

Active since April 11, 2021PECOS Enrolled
301 FISHER ST, BILOXI, MS 39534(228) 376-2273 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2024, Mar 17, 2023, Apr 11, 2021 (3 updates tracked since 2021).

About Benjamin Maximilian Vannorden Tartter NPPES

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

BENJAMIN MAXIMILIAN VANNORDEN TARTTER (NPI 1720668031) is an individual emergency medicine provider in Biloxi, Mississippi, licensed in New York (320722) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720668031
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBENJAMIN MAXIMILIAN VANNORDEN TARTTER
Location Address301 FISHER STBiloxi, MS 39534-2508
Mailing Address301 Fisher StBiloxi, MS 39534-2508
Phone(228) 376-2273
Sole ProprietorYes
Enumeration DateApril 11, 2021
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1720668031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 320722
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
301 FISHER ST, Biloxi, MS 39534
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Maximilian Vannorden Tartter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Tartter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mississippi Emergency Department Services PC
23 mi
Emergency Medicine
2809 DENNY AVE
Pascagoula, MS 39581
  • Reassigned Medicare billing, Mississippi enrollment
  • 75 clinicians in this Medicare group
NPI 1881427961 (228) 809-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39534 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

DR. CHRISTINA MARIE DUKES PHARMD
Pharmacist (Oncology)
301 FISHER ST, KEESLER AFB
KEESLER AFB, MS 39534
Harrison County (228) 376-4637
DR. BRICE PETER BOWERMAN MD
Radiology (Diagnostic Radiology)
301 FISHER ST
BILOXI, MS 39534
Harrison County (678) 394-6561
BENNETT ALAN LUCAS MD
Military Health Care Provider
301 FISHER ST
BILOXI, MS 39534
Harrison County (228) 376-2273
DR. DAVID MAX JONES D.D.S.
Dentist (General Practice)
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 376-0512
JILL ALLYN JOZEFOWICZ DO
Surgery
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 376-0425
DR. JOSEPH CAMORATTO DPT
Physical Therapist
301 FISHER ST
BILOXI, MS 39534
Harrison County (228) 376-5231
KYLE QUIST
Internal Medicine
301 FISHER ST
BILOXI, MS 39534
Harrison County (601) 988-4698
YVONNE MARIE SCULLEY MD
Obstetrics & Gynecology
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 376-4118

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 Tartter's NPI number?

The NPI number for Benjamin Tartter is 1720668031. It was assigned to this individual provider in the NPPES registry on April 11, 2021.

Where is Benjamin Tartter located?

Benjamin Tartter practices at 301 Fisher St, Biloxi, MS 39534. The listed phone number is (228) 376-2273.

What is Benjamin Tartter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Tartter enrolled in Medicare?

Yes. Benjamin Tartter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Benjamin Tartter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Tartter reassigns Medicare benefits to Mississippi Emergency Department Services PC (Pascagoula, MS). 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 Tartter'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 Tartter was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.