DR. CORY ERIC MANOOGIAN (DO) – Psychiatry Physician, NPI 1003430877

DR. CORY ERIC MANOOGIAN (DO) is a healthcare provider. based in Clarkston, Michigan. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 5101027970 (MI). The NPI Number for DR. CORY ERIC MANOOGIAN (DO) is 1003430877

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORY ERIC MANOOGIAN (DO)
NPI
1003430877
Phone
(248) 922-2683
Address
5701 BOW POINTE DR STE 100
Enumeration Date
8 June 2020
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
2484770552
Graduation Year
2020 (6 years ago)
PAC ID
7911321732
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20241011001657
Address ID
MI483365965FA27900AVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,216 PSYCHIATRY in MI

Provider Addresses for DR. CORY ERIC MANOOGIAN (DO)

  • 5701 BOW POINTE DR STE 100

    CLARKSTON, MI 483463199

    Phone: (248) 922-2683

    Fax: (248) 625-2622

    Type: Mailing

  • 50 N PERRY ST

    PONTIAC, MI 483422217

    Phone: (248) 384-8130

    Fax: (248) 625-2622

    Type: Location

  • 300 68TH ST SE

    GRAND RAPIDS, MI 495486927

    Phone: (616) 559-5870

    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 $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-03-01 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($97).

Total Amount

$97

General + Research + Ownership

Payments

2

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-01

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: 2024-10-11

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
I20241011001657IPsychiatryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48346)

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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: 0345413258View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
Internal MedicineMI
Otolaryngology, Plastic And Reconstructive SurgeryMI
Medical Oncology, Internal MedicineMI
-MI
-AE
Pediatric MedicineMI

Reviews

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Frequently asked questions

How do I look up DR. CORY ERIC MANOOGIAN (DO) by NPI?
Use NPI 1003430877 when you need to reference DR. CORY ERIC MANOOGIAN (DO) in forms, claims, or directories.
Is DR. CORY ERIC MANOOGIAN (DO) currently active in the NPI registry?
CMS-published data lists DR. CORY ERIC MANOOGIAN (DO) as an active registrant.
What field does DR. CORY ERIC MANOOGIAN (DO) work in?
You can think of DR. CORY ERIC MANOOGIAN (DO) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. CORY ERIC MANOOGIAN (DO)?
The snapshot lists Clarkston, Michigan for DR. CORY ERIC MANOOGIAN (DO); download NPPES for the complete set.
What if Clarkston, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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