DR. TRACEY M SPERRY (D.O.) – Internal Medicine Physician, NPI 1043369523
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
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Provider Addresses for DR. TRACEY M SPERRY (D.O.)
Domino's Farms Office Park, 24, Frank Lloyd Wright Drive, Domino Farms, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States
P.O. BOX 0446, LOBBY J
ANN ARBOR, MI 481060446
Phone:
Type: Mailing
49650, Cherry Hill Road, Cherry Hill, Canton Township, Wayne County, Michigan, 48187, United States
SUITE 120
CANTON, MI 48187
Phone: (734) 398-7800
Fax: (734) 398-7805
Type: Location
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: 2004-10-12
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 |
|---|---|---|---|---|
| I20041012000189 | I | Internal Medicine | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 154 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 110 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 84 | 84 | $0 |
| G0008 | Administration of influenza virus vaccine | 45 | 45 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 42 | 42 | $0 |
Insurance plans in this area (ZIP 48106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MI | 83036 | Hemoglobin A1C level | 49 | 45 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Internal Medicine, Pediatric Medicine | MI | |
| Internal Medicine, Hospitalist | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Internal Medicine, Pediatric Medicine | MI |
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