NPIMap

Individual provider Active NPI

Benjamin Stillman Hixon, MS, PA-C

  • Physician Assistant
  • Sandwich, MA
National Provider Identifier
1609386796
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6273 Issued in MA
Practice address
385 Lake Shore Dr
Sandwich, MA 02563-2746
Phone
(508) 280-2109
NPI assigned
Oct 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6273 MA Primary

Addresses

Primary practice location

385 Lake Shore Dr
Sandwich, MA 02563-2746

Mailing address

385 Lake Shore Dr
Sandwich, MA 02563-2746
Phone (508) 280-2109

Other practice location 1

27 Park St
Hyannis, MA 02601-5230
Phone (508) 280-2109

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227002857 MA Practitioner - Physician Assistant 9830457605 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Health Express IncGroup PAC ID 6406108836, 30 clinicians
Urgi Center Medical GroupGroup PAC ID 3476790601, 83 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

117 Old Church St
Pembroke, MA 02359-1969
Phone (781) 626-5170

1220 Iyannough Rd
Hyannis, MA 02601-1873
Phone (508) 862-7900

182 Summer St
Suite 1277
Kingston, MA 02364-1277
Phone (781) 626-5340

27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000

273 Teaticket Hwy
Teaticket, MA 02536-5638
Phone (508) 495-8000

59 Long Pond Rd
Plymouth, MA 02360-2670
Phone (781) 626-5180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.11 of 100Reported as group
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
79.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Health Express, Inc CurrentSince Feb 1, 2020 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Mar 1, 2018 Accepting new patients
South Shore Health Express, Inc CurrentSince Feb 1, 2020 Accepting new patients
Joint Ventures Physical Therapy, Inc. PastSince May 16, 2019 Accepting new patients
Bay Radiology Associates, Inc. Past Accepting new patients
Joint Ventures Physical Therapy, Inc. Past Accepting new patients

Locations

525 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-3311

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

117 Old Church St
Pembroke, MA 02359
Phone (781) 626-5170

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609386796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 LAKE SHORE DR",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632746",
            "telephone_number": "508-280-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 LAKE SHORE DR",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632746",
            "telephone_number": "508-280-2109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Park St",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026015230",
            "country_code": "US",
            "telephone_number": "508-280-2109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIXON",
        "first_name": "BENJAMIN",
        "middle_name": "STILLMAN",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, MA

Sources for this page

Verify at the official NPI Registry.