Individual provider Active NPI

Benjamin Packard, MD

  • Orthopaedic Surgery Physician
  • Anchorage, AK
National Provider Identifier
1801328422
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
201346 Issued in AK
Practice address
4100 Lake Otis Pkwy Ste 220
Anchorage, AK 99508-5230
Phone
(907) 563-3145
Fax
(833) 464-5196
NPI assigned
Apr 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 201346 AK Primary

Addresses

Primary practice location

4100 Lake Otis Pkwy Ste 220
Anchorage, AK 99508-5230

Mailing address

4100 Lake Otis Pkwy Ste 220
Anchorage, AK 99508-5230
Phone (907) 563-3145

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231128003418 AK Practitioner - Orthopedic Surgery 5294006524 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings Inc 1,992 clinicians
Bartlett Regional Hospital 6 clinicians
Medical Network of Alaska LLC 70 clinicians
Anchorage Fracture and Orthopaedic Clinic PC 33 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Suite 150
Eagle River, AK 99577-8078
Phone (907) 694-8085

1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6570
Phone (907) 921-5088

3250 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8198

4100 Lake Otis Pkwy
Anchorage, AK 99508-5230
Phone (907) 563-3145

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Fracture and Orthopaedic Clinic, PC CurrentSince Nov 1, 2025 Accepting new patients
Medical Network of Alaska, LLC Multi-Specialty CurrentSince Nov 1, 2023 Accepting new patients
Medical Network of Alaska, LLC Multi-Specialty Current Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Medical Network of Alaska, LLC Multi-Specialty CurrentSince Nov 1, 2023 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Bartlett Regional Hospital Multi-Specialty CurrentSince Nov 14, 2025 Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 220
Anchorage, AK 99508

12350 Industry Way
Ste 110
Anchorage, AK 99515
Phone (907) 206-9114

4100 Lake Otis Pkwy
Ste 108
Anchorage, AK 99508
Phone (907) 339-2455

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

3250 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8198

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

3505 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-4963

Interoperability endpoints

  • Direct secure messaging: benjamin.packard.1@27294.direct.athenahealth.com

Organizations & group practices 8

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1801328422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-563-3145",
            "fax_number": "833-464-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE OTIS PKWY STE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085230",
            "telephone_number": "907-563-3145",
            "fax_number": "833-464-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-02",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AK",
            "license": "201346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.