DR. BENJAMIN DANIEL PIROTTE MD
NPI 1962965525
Emergency Medicine in Phoenix, AZ
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Benjamin Pirotte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85037
- Reassigned Medicare billing, Arizona enrollment
- 199 clinicians in this Medicare group
Phoenix, AZ 85008
- Reassigned Medicare billing, Arizona enrollment
- 1,490 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
PHOENIX, AZ 85031
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.
Which organizations bill Medicare for Benjamin Pirotte's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Pirotte reassigns Medicare benefits to 2 organizations: Emergency Professional Services PC (Phoenix, AZ) and District Medical Group, Inc (Phoenix, AZ). Each 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 Pirotte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Pirotte accept?
Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, 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.
# Dr. Benjamin Daniel Pirotte, MD · NPI 1962965525
Emergency Medicine physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 10, 2019.
## Identity
- **NPI:** 1962965525 (Entity type: Individual)
- **Enumerated:** April 10, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 65572 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 5102 W CAMPBELL AVE, Phoenix, AZ 85031-1703
- **Phone:** (602) 655-1111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Professional Services PC (NPI 1225055924, Phoenix, AZ); District Medical Group, Inc (NPI 1700119815, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** July 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962965525) · Data from the CMS NPPES public registry.