Active NPI
Benjamin E Phillips, M.D.
- Ophthalmology Physician
- Manitowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 44214-020
- Practice address
- 1111 Bayshore Dr
Manitowoc, WI 54220-5548 - Phone
- (920) 684-4429
- Fax
- (920) 684-6892
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 44214-020 | WI | Primary |
Addresses
Primary practice location
1111 Bayshore Dr
Manitowoc, WI 54220-5548
Mailing address
1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34181000 | Medicaid | WI | |
| 0376640002 | Other | WI | ADMINASTAR FEDERAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bphillips81561@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Mayo Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Expo Dr
Manitowoc, WI 54220-9341
Phone (920) 684-4429
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.21 of 100
- Quality
- 78.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.5
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 196 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44214-020 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Clinic LLP | Ophthalmology | Current | Accepting new patients |
| Two Rivers Eye Clinic | Ophthalmology | Current | Accepting new patients |
| Baycare Clinic LLP | Current | Accepting new patients |
Locations
164 N Broadway
Green Bay, WI 54303
Phone (920) 965-4055
2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400
1035 Kepler Dr
Green Bay, WI 54311
4801 Expo Dr
Manitowoc, WI 54220
Phone (920) 684-4429
1111 Bayshore Dr
Manitowoc, WI 54220
Phone (920) 682-6376
719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL PPO Downstate
- IL HMO C-SNP
Interoperability endpoints
- bphillips148990@direct.froedtert.com
- bphillips81561@direct.myadvocateaurora.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1134490758
-
- Ophthalmology Physician
- Two Rivers, WI
- NPI 1114084324
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
- General Acute Care Hospital
- Manitowoc, WI
- NPI 1700998697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1003808676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118320",
"telephone_number": "920-490-9046",
"fax_number": "920-405-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 BAYSHORE DR",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205548",
"telephone_number": "920-684-4429",
"fax_number": "920-684-6892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "BENJAMIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "44214-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34181000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINASTAR FEDERAL",
"identifier": "0376640002",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bphillips81561@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "4801 Expo Dr",
"city": "Manitowoc",
"state": "WI",
"country_code": "US",
"postal_code": "542209341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.