Individual provider Active NPI

Bennjamin Duane Fronk, M.D.

  • Interventional Pain Medicine Physician
  • Waco, TX
National Provider Identifier
1548587553
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
P9344 Issued in TX
Practice address
205 Woodhew Dr Ste 203
Waco, TX 76712-6679
Phone
(855) 876-7246
Fax
(855) 277-5070
NPI assigned
Apr 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X P9344 TX
Pain Medicine (Anesthesiology) Physician 207LP2900X P9344 TX
Interventional Pain Medicine Physician 208VP0014X P9344 TX Primary

Addresses

Primary practice location

205 Woodhew Dr Ste 203
Waco, TX 76712-6679

Mailing address

PO Box 208354
Dallas, TX 75320-8354
Phone (512) 485-7208

Other identifiers 3

IdentifierTypeStateIssuer
2L1390OtherTXTEXAS MEDICARE PTAN
2L1394OtherTXTEXAS MEDICARE PTAN
339607902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017000902 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 1557582459 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Pain Center, PLLCGroup PAC ID 0547233207, 28 clinicians

Practice addresses (Care Compare)

205 Woodhew Dr
Suite 203
Waco, TX 76712-6679
Phone (254) 732-6632

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P9344TXMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Pain Center, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Brushy Creek Emergency Physicians PLLC Anesthesiology CurrentSince Aug 11, 2021 Accepting new patients
Pain Care Physicians, PA CurrentSince Jul 20, 2015 Accepting new patients
Central Texas Pain Center, PLLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Lake Travis Emergency Physicians, PLLC CurrentSince Aug 10, 2021 Accepting new patients
Central Texas Pain Institute PLLC Interventional Pain Medicine Past Accepting new patients
Central Texas Pain Center South PLLC Pain Medicine Past Accepting new patients

Locations

4316 James Casey St
Ste B-200
Austin, TX 78745

2315 W Ben White Blvd
Austin, TX 78704
Phone 5123265440206

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

1401 Medical Pkwy
Ste 345
Cedar Park, TX 78613
Phone (512) 953-8137

3310 E Central Texas Expy
Ste 201
Killeen, TX 76543
Phone (558) 767-2468

213 Hunters Vlg
New Braunfels, TX 78132
Phone (830) 627-3800

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

305 Clinite Grove Blvd
Temple, TX 76502

205 Woodhew Dr
Ste 203
Woodway, TX 76712
Phone (254) 732-6632

7003 Woodway Dr
Ste 313
Woodway, TX 76712
Phone (254) 399-6422

Interoperability endpoints

  • Direct secure messaging: bennjamin.fronk@psoa.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1548587553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208354",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208354",
            "telephone_number": "512-485-7208",
            "fax_number": "844-364-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WOODHEW DR STE 203",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126679",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONK",
        "first_name": "BENNJAMIN",
        "middle_name": "DUANE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P9344",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "P9344",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "P9344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE PTAN",
            "identifier": "2L1390",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE PTAN",
            "identifier": "2L1394",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339607902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.