Benjamin Grant Ekstrom, M.D.

Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Anchorage, AK

NPI 1740556992 · NPPES record last updated Aug 28, 2020

Key facts

NPI
1740556992
Entity type
Individual (NPI type 1)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
License
128515 (AK)
Practice address
2925 Debarr Road St 240
Anchorage, AK 99508-2959
Phone
(907) 339-4650
Fax
(907) 339-4694
NPI assigned
Mar 31, 2012
Sex
Male
Sole proprietor
No

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 1

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

Medicare Care Compare profile

Specialty
Anesthesiology
Education
Medical College of Wisconsin, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroversion (10 clinicians)
Providence Anchorage Anesthesia Medical Group PC (52 clinicians)

Practice addresses (Care Compare)

2925 Debarr Rd
Suite D240
Anchorage, AK 99508-2900
Phone (907) 339-4650

3300 Providence Dr
Suite 207
Anchorage, AK 99508-4620
Phone (907) 561-0005

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital · Anchorage, AK · CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score
93.68 of 100 (group)
Quality
82.26
Promoting interoperability
99
Improvement activities
40
Cost
76.32

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180621001356 AK Practitioner - Anesthesiology 5193966331 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of Chrmc and University Physicians Anesthesiology Current
since Oct 23, 2018
Accepting new patients
Alaska Center for Pain Relief Inc Current
since Aug 1, 2018
Accepting new patients
Alaska Center for Pain Relief Inc Current
since Aug 1, 2018
Accepting new patients
Association of CHMC and University Physicians Current
since Oct 23, 2018
Accepting new patients
Neuroversion Current
since Aug 14, 2020
Accepting new patients
Providence Anchorage Anesthesia Medical Group, P.C. Anesthesiology Current
since Feb 7, 2022
Accepting new patients
University Hospitals Medical Group Inc Anesthesiology Past
since Feb 7, 2022
Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

2925 Debarr Rd
Ste 240
Anchorage, AK 99508
Phone (907) 339-4650

2925 Debarr Rd
Anchorage, AK 99508
Phone (907) 257-4854

3851 Piper St
Ste U464
Anchorage, AK 99508
Phone (907) 339-0363

2925 Debarr Rd
Ste D240
Anchorage, AK 99508
Phone (907) 290-1683

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10583/brand/2/csg/1/fhir/r4
  • Direct secure messaging: benjamin.ekstrom@neu.eclinicaldirectplus.com
  • Direct secure messaging: ben.ekstrom@direct.vmmc.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 128515 AK
Pediatric Anesthesiology Physician 207LP3000X 128515 AK
Pain Medicine (Anesthesiology) Physician 207LP2900X 128515 AK Yes

Addresses

Primary practice location

2925 Debarr Road St 240
Anchorage, AK 99508-2959

Mailing address

2925 Debarr Road St 240
Anchorage, AK 99508-2959
Phone (907) 339-4650

Other providers in Anchorage, AK

All providers in Anchorage, AK · Pain Medicine (Anesthesiology) Physician in Alaska

Sources for this page

Verify at the official NPI Registry.