NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.) – Family Medicine Physician, NPI 1013216068

NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.) is a healthcare provider. based in Clinton township, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5101019544 (MI). The NPI Number for NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.) is 1013216068

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.)
NPI
1013216068
Phone
(586) 263-3400
Address
15400 19 MILE RD
Enumeration Date
16 March 2011
Last Update Date
14 August 2018

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5862632300
Graduation Year
2011 (15 years ago)
PAC ID
0244463768
Group Practice PAC ID
7911808381
Professional Enrollment ID
I20140616001489
Address ID
MI480383504CL15855RDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.)

  • 15400 19 MILE RD

    CLINTON TOWNSHIP, MI 480386327

    Phone: (586) 263-3400

    Fax: (586) 412-3670

    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 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-09-28 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
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: 2014-06-16

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
I20140616001489IFamily PracticeMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes16799$0
36415Insertion of needle into vein for collection of blood sample10573$0
99213Established patient office or other outpatient visit, 20-29 minutes8258$0
99215Established patient office or other outpatient visit, 40-54 minutes1713$0
G0008Administration of influenza virus vaccine1616$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 7911808381View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Pediatric Medicine, Allergy/ImmunologyMI
Certified Registered Nurse Anesthetist (Crna)MI
Physician AssistantMI
Family PracticeMI
Nurse PractitionerMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

What federal number belongs to NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.)?
The federal identifier for NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.) is NPI 1013216068.
Is NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.) active in the national directory?
NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.)'s public NPI profile is in an active state.
Can you summarize NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.)'s specialty in plain language?
Clinically, the directory lists NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.)?
We surface Clinton Township, Michigan for NICHOLAS MARTIN GADZINSKI-WORDSWORTH (D.O.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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