Benjamin Grant Ekstrom, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

128515 Issued in 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

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

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

NeuroversionGroup PAC ID 7012297062, 10 clinicians

Providence Anchorage Anesthesia Medical Group PCGroup PAC ID 2163414830, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score

93.68 of 100Reported as group

Quality

82.26

Promoting interoperability

99

Improvement activities

40

Cost

76.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Neuroversion

  • Interventional Pain Medicine Physician
  • Anchorage, AK
  • NPI 1487102208
  Medicare reassignment Care Compare group NPD
• Providence Anchorage Anesthesia Medical Group, P.C.

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1659368397
  Medicare reassignment Care Compare group NPD
• Alaska Center for Pain Relief Inc

  • Interventional Pain Medicine Physician
  • Anchorage, AK
  • NPI 1275922346
  Medicare reassignment NPD
• Alaska Center for Pain Relief Inc

  • Interventional Pain Medicine Physician
  • Wasilla, AK
  • NPI 1962973271
  NPD
• Association of CHMC and University Physicians

  • Pediatrics Physician
  • Richland, WA
  • NPI 1851680664
  NPD
• The Association of Chrmc and University Physicians

  dba Children's University Medical Group

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1255449963

  Anesthesiology

  NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Anesthesiology

  NPD (past)

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

• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1740556992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 DEBARR ROAD ST 240",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082959",
            "telephone_number": "907-339-4650",
            "fax_number": "907-339-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEBARR ROAD ST 240",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082959",
            "telephone_number": "907-339-4650",
            "fax_number": "907-339-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKSTROM",
        "first_name": "BENJAMIN",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-31",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "128515",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "AK",
            "license": "128515",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AK",
            "license": "128515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Eissler
• Lee Ann Eissler, ANP
• Lauri Moser Ek-Watson, RD
• Stephanie L Eklund, MD
• Ledjha Ekstedt
• Carl Ekstrom
• Hannah Elizabeth Ekstrom, MSCP, PSYD
• Elaine's Place
• Hannah Elam
• Teryl Elam, M.D.

• Pain Medicine (Anesthesiology) Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pain Medicine (Anesthesiology) Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.

Verify at the official NPI Registry.