Active NPI
Benjamin Packard, MD
- Orthopaedic Surgery Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 201346
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncBartlett Regional HospitalMedical Network of Alaska LLCAnchorage Fracture and Orthopaedic Clinic PC
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
- Alaska Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Fracture and Orthopaedic Clinic, PC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Multi-Specialty | Current | Accepting new patients |
| Medical Network of Alaska, LLC | Multi-Specialty | Current | Accepting new patients |
| Anchorage Fracture and Orthopaedic Clinic, PC | Multi-Specialty | Current | Accepting new patients |
| Medical Network of Alaska, LLC | Multi-Specialty | Current | Accepting new patients |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Bartlett Regional Hospital | Multi-Specialty | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1285677054
AK, Multi-Specialty
-
- Orthopaedic Surgery Physician
- Juneau, AK
- NPI 1861200511
AK, Multi-Specialty
-
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
AK, Multi-Specialty
-
- Clinical Medical Laboratory
- Wasilla, AK
- NPI 1467167585
-
- Endocrinology, Diabetes & Metabolism Physician
- Wasilla, AK
- NPI 1831763911
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Anchorage, AK
- NPI 1326753021
-
- Durable Medical Equipment & Medical Supplies
- Wasilla, AK
- NPI 1831774298
-
- Otolaryngology Physician
- Anchorage, AK
- NPI 1922862986
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.