MICHAEL PAUL BEDNARZ (MD) – Psychiatry Physician, NPI 1184661407

MICHAEL PAUL BEDNARZ (MD) is a healthcare provider. based in Macomb, Illinois. specializing in ADDICTION MEDICINE, GERIATRIC PSYCHIATRY, INTERNAL MEDICINE, PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 036100780 (IL). The NPI Number for MICHAEL PAUL BEDNARZ (MD) is 1184661407

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL PAUL BEDNARZ (MD)
NPI
1184661407
Phone
(309) 575-3222
Address
1601 WEST JACKSON STREET
Enumeration Date
2 June 2006
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3095753222
Graduation Year
1997 (29 years ago)
PAC ID
3375540354
Group Practice PAC ID
5496049330
Professional Enrollment ID
I20061106000169
Address ID
IL614551901MA1601XSTXX401

Contacts

Secure Messaging
mbednarz@direct.ccprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

101 ADDICTION MEDICINE in IL

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Provider Addresses for MICHAEL PAUL BEDNARZ (MD)

  • 1601, West Jackson Street, Macomb, McDonough County, Illinois, 61455, United States

    SUITE 104

    MACOMB, IL 61455

    Phone: (309) 575-3222

    Fax: (309) 404-8000

    Mailing address matches the actual address.

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 $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($16).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-11-06

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
I20061106000169IPsychiatryILTBD

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
90792Psychiatric diagnostic evaluation with medical services5930$0
View full utilization report →

Insurance plans in this area (ZIP 61455)

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Provider's Procedures

MICHAEL PAUL BEDNARZ (MD) performs procedures in ADDICTION MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYIL90792Psychiatric diagnostic evaluation with medical services3936

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: 5496049330View full group profile
NameSpecialtyState
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does MICHAEL PAUL BEDNARZ (MD) have a public NPI I can cite?
Public records show MICHAEL PAUL BEDNARZ (MD) under NPI 1184661407.
Is MICHAEL PAUL BEDNARZ (MD) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL PAUL BEDNARZ (MD) as active.
What services align with MICHAEL PAUL BEDNARZ (MD)'s listing?
MICHAEL PAUL BEDNARZ (MD)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL PAUL BEDNARZ (MD) tied to Macomb, Illinois?
If you are local to Macomb, Illinois, MICHAEL PAUL BEDNARZ (MD) may be relevant to your search.
Can I export MICHAEL PAUL BEDNARZ (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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