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DR. BENJAMIN DANIEL PIROTTE MD
NPI 1962965525
Emergency Medicine in Phoenix, AZ

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
93.37/100
CMS Quality Rating
5102 W CAMPBELL AVE, PHOENIX, AZ 85031(602) 655-1111 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2022, Apr 30, 2022, Apr 10, 2019 (3 updates tracked since 2019).

About Dr. Benjamin Daniel Pirotte Md NPPES

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

DR. BENJAMIN DANIEL PIROTTE MD (NPI 1962965525) is an individual emergency medicine provider in Phoenix, Arizona, licensed in Arizona (65572) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2019).

NPPES Registry Identity

NPI1962965525
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BENJAMIN DANIEL PIROTTECredential: MD
Location Address5102 W CAMPBELL AVEPhoenix, AZ 85031-1703
Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5000
Phone(602) 655-1111
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateJuly 31, 20233 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
✔ NPI 1962965525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · 65572
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.
5102 W CAMPBELL AVE, Phoenix, AZ 85031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..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 Daniel Pirotte 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 ID8123406220
PECOS Enrollment IDI20230821003789
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services36 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85031 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.57
Promoting Interoperability96
Improvement Activities40
Cost62.14

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. KATE M GILLPATRICK DO
Psychiatry & Neurology (Psychiatry)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Maricopa County (602) 344-5011
DR. JASON B DANIELS MD
Emergency Medicine
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Maricopa County (623) 848-5000
DR. BENET RAY PRESS M.D.
Psychiatry & Neurology (Psychiatry)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Maricopa County (602) 344-5011
DR. EDGAR PINO PHARMD
Pharmacist (Ambulatory Care)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Maricopa County (602) 655-1190
MA YVONNE RELAMPAGOS CASTILLO RN
General Acute Care Hospital (Critical Access)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Maricopa County (623) 848-5240
MR. ABRAHAM DAGOBERTO LOPEZ JR. PA
Physician Assistant
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Maricopa County (623) 848-5000
MS. AMANDA HORTON NP-C
Nurse Practitioner (Family)
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Maricopa County (602) 470-5000
CRISTAL TORRES
Social Worker
5102 W CAMPBELL AVE
PHOENIX, AZ 85031
Maricopa County (602) 655-1069

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 Pirotte's NPI number?

The NPI number for Benjamin Pirotte is 1962965525. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Benjamin Pirotte located?

Benjamin Pirotte practices at 5102 W Campbell Ave, Phoenix, AZ 85031. The listed phone number is (602) 655-1111.

What is Benjamin Pirotte's specialty?

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

Is Benjamin Pirotte enrolled in Medicare?

Yes. Benjamin Pirotte 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 Pirotte accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Benjamin Pirotte 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 Pirotte was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.