Benjamin Warren Halligan, MD
NPI 1972715985ActiveIndividual· Orthopaedic Surgery, Sports Medicine· Fremont, CA
Orthopaedic Surgery, Sports Medicine (MD) in Fremont, California, trained at Tulane University School of Medicine (class of 2002). Mostly services rather than prescriptions: Medicare paid $149,007 for 539 patients in 2024, with only 45 Part D claims.
Overview
| NPI | 1972715985 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Feb 1, 2021 |
| Certified by provider | Feb 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | A84498 | CA |
| Orthopaedic Surgery | 207X00000X | A84498 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Sports Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 539 |
|---|---|
| Services billed | 3,315 across 18 procedure codes |
| Paid by Medicare | $149,007 |
Part D prescriptions in 2024
| Prescriptions (claims) | 45 · 45 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $145.93 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Tulane University School of Medicine |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Sports Medicine |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Hospital affiliation
- Stanford Health Care Tri-ValleyPleasanton, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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