DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.) – Emergency Medicine Physician, NPI 1023463312

DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.) is a healthcare provider. based in Pontiac, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101022471 (MI). The NPI Number for DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.) is 1023463312

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.)
NPI
1023463312
Phone
(248) 338-5000
Address
50 N PERRY ST
Enumeration Date
25 April 2016
Last Update Date
25 May 2016

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2697897125
Graduation Year
2016 (10 years ago)
PAC ID
6002100591
Group Practice PAC ID
6608056171
Professional Enrollment ID
I20180227001515
Address ID
MI490681143MA200XXSTXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.)

  • McLaren Oakland, 50, North Perry Street, Pontiac, Oakland County, Michigan, 48342, United States

    PONTIAC, MI 483422217

    Phone: (248) 338-5000

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-02-27

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
I20180227001515IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making188182$0
99284Emergency department visit with moderate level of medical decision making148142$0
99291Critical care, first 30-74 minutes4444$0
99283Emergency department visit with low level of medical decision making2625$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1313$0
View full utilization report →

Insurance plans in this area (ZIP 48342)

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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: 6608056171View full group profile
NameSpecialtyState
Emergency MedicineMI
Physician AssistantMI
Emergency MedicineWI
Emergency MedicineNH
Family Practice, Emergency MedicineNC
Physician AssistantOR
Emergency MedicineIL
Emergency MedicineIN
Emergency MedicineTN
-OR

Reviews

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Frequently asked questions

What number should I use to identify DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.) for billing?
Administrative and clinical systems typically use NPI 1023463312 for DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.).
Should I treat DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.) as an active provider?
Patients and plans typically see DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.) as active in the national extract.
What type of care does DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.) provide?
DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.)?
DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.) is associated with Pontiac, Michigan in the same public data insurers reference.
Can I export DR. MICHAEL CHRISTOPHER DETTLOFF (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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