DR. DEBRA A ZACK (DO) – Family Medicine Physician, NPI 1750362901
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,862 FAMILY PRACTICE in IN
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Provider Addresses for DR. DEBRA A ZACK (DO)
Franklin Street, Au Sable, Au Sable Township, Iosco County, Michigan, United States
MICHIGAN CITY, IN 463603564
Phone: (219) 872-6200
Fax: (219) 879-2915
Type: Location
200 ALFRED ST
MICHIGAN CITY, IN 46360
Phone: (219) 872-6200
Fax: (219) 879-2915
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: VOCO America Inc. ($40).
Total Amount
$122
General + Research + Ownership
Payments
5
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| VOCO America Inc. | $40 |
| ABBVIE INC. | $28 |
| Abbott Laboratories | $22 |
| Gilead Sciences, Inc. | $17 |
| AstraZeneca Pharmaceuticals LP | $15 |
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: 2010-04-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100423000389 | I | Family Practice | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 29 | 18 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 17 | 16 | $0 |
Insurance plans in this area (ZIP 46360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| Family Practice | DC | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Family Practice | IN | |
| Nurse Practitioner | MI | |
| - | IN | |
| Nurse Practitioner | IN |
Reviews
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