DR. BRIAN LAWRENCE MAVRETICH (DO) – Physical Medicine & Rehabilitation Physician, NPI 1013444512

DR. BRIAN LAWRENCE MAVRETICH (DO) is a healthcare provider. based in Jackson, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. OS17981 (FL). The NPI Number for DR. BRIAN LAWRENCE MAVRETICH (DO) is 1013444512

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN LAWRENCE MAVRETICH (DO)
NPI
1013444512
Phone
(517) 205-7060
Address
205 N EAST AVE
Enumeration Date
15 May 2017
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8632914000
Graduation Year
2017 (9 years ago)
PAC ID
9032487574
Group Practice PAC ID
4183619828
Professional Enrollment ID
I20210811000746
Address ID
FL338814651WI325XXNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

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Provider Addresses for DR. BRIAN LAWRENCE MAVRETICH (DO)

  • 205, East Avenue, Grass Lake, Grass Lake Township, Jackson County, Michigan, 49240, United States

    JACKSON, MI 492011753

    Phone: (517) 205-7060

    Fax: (517) 205-7050

    Type: Mailing

  • 6333 54TH AVE N

    ST PETERSBURG, FL 337091703

    Phone: (727) 548-6100

    Fax: (727) 497-2322

    Type: Location

  • 11350 MCCORMICK RD STE 501

    HUNT VALLEY, MD 210311002

    Phone: (407) 622-5766

    Type: Mailing

  • 1693 LEE RD STE B

    WINTER PARK, FL 327892260

    Phone: (407) 622-5766

    Type: Location

  • 4385 48TH AVE S

    ST PETERSBURG, FL 337114611

    Phone: (248) 420-9942

    Fax: (727) 497-2322

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,538.

Total Amount is formed as General ($1,538) + Research ($0) + Ownership ($0) = $1,538.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Curonix LLC ($1,254).

Total Amount

$1,538

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,538

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2021-08-11

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
I20210811000746IPhysical Medicine And RehabilitationFLTBD

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 minutes12045$0
99213Established patient office or other outpatient visit, 20-29 minutes11350$0
80307Testing for presence of drug, by chemistry analyzers8153$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level2916$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level2816$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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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: 4183619828View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
Nurse PractitionerFL
Pain ManagementFL
Nurse PractitionerFL
Pain Management, AnesthesiologyFL
Pain Management, AnesthesiologyFL
Pain ManagementDC

Reviews

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Frequently asked questions

Where can patients find DR. BRIAN LAWRENCE MAVRETICH (DO)'s NPI?
You can confirm DR. BRIAN LAWRENCE MAVRETICH (DO) with NPI 1013444512; it appears in the national provider directory.
Is DR. BRIAN LAWRENCE MAVRETICH (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. BRIAN LAWRENCE MAVRETICH (DO)'s specialty in plain language?
Clinically, the directory lists DR. BRIAN LAWRENCE MAVRETICH (DO) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Does DR. BRIAN LAWRENCE MAVRETICH (DO) practice in Michigan?
You will see Jackson, Michigan on file for DR. BRIAN LAWRENCE MAVRETICH (DO) alongside any extra practice locations.
What if Jackson, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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