MICHELLE SUZANNE HEDDERICH (M.D.) – Hospitalist Physician, NPI 1063641520

MICHELLE SUZANNE HEDDERICH (M.D.) is a healthcare provider. based in Deland, Florida. specializing in HOSPITALIST, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. ME108171 (FL). The NPI Number for MICHELLE SUZANNE HEDDERICH (M.D.) is 1063641520

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE SUZANNE HEDDERICH (M.D.)
NPI
1063641520
Phone
(386) 424-5000
Address
2679 WINNEMISSETT OAKS DR
Enumeration Date
6 July 2009
Last Update Date
6 December 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
3864245000
Graduation Year
2009 (17 years ago)
PAC ID
6103091673
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20111212000428
Address ID
FL321687322NE401XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,493 HOSPITALIST in FL

Provider Addresses for MICHELLE SUZANNE HEDDERICH (M.D.)

  • 2679 WINNEMISSETT OAKS DR

    DELAND, FL 327244862

    Phone: (386) 424-5000

    Type: Mailing

  • 401 PALMETTO ST

    NEW SMYRNA BEACH, FL 321687322

    Phone: (386) 424-5000

    Type: Location

  • 790 DUNLAWTON AVE STE E

    PORT ORANGE, FL 321274222

    Phone: (386) 760-1877

    Fax: (386) 760-2791

    Type: Location

  • Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States

    DAYTONA BEACH, FL 321209671

    Phone: (386) 676-7130

    Fax: (386) 676-7125

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2023-05-05 • Largest payer in this snapshot: Inari Medical, Inc. ($73).

Total Amount

$73

General + Research + Ownership

Payments

2

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$73
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111212000428IHospitalistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes299128$0
99239Hospital discharge day management, more than 30 minutes105103$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6342$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4544$0
99291Critical care, first 30-74 minutes4420$0
View full utilization report →

Insurance plans in this area (ZIP 32724)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHELLE SUZANNE HEDDERICH (M.D.)?
MICHELLE SUZANNE HEDDERICH (M.D.) — NPI 1063641520 — is the standard way to identify this listing.
Is MICHELLE SUZANNE HEDDERICH (M.D.) listed as active for patients and plans?
The listing shows MICHELLE SUZANNE HEDDERICH (M.D.) as active in the NPI system.
What is MICHELLE SUZANNE HEDDERICH (M.D.)'s primary classification?
Hospitalist Physician is the headline specialty for MICHELLE SUZANNE HEDDERICH (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for MICHELLE SUZANNE HEDDERICH (M.D.)?
MICHELLE SUZANNE HEDDERICH (M.D.)'s geographic hint is Deland, Florida in our summary view.
Why does MICHELLE SUZANNE HEDDERICH (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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