MICHAEL SHANE PEER (PA-C) – Physician Assistant, NPI 1043940968

MICHAEL SHANE PEER (PA-C) is a healthcare provider. based in Commerce twp, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1195995 (MI). The NPI Number for MICHAEL SHANE PEER (PA-C) is 1043940968

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SHANE PEER (PA-C)
NPI
1043940968
Phone
(313) 806-0039
Address
5086 PARKGATE DR
Enumeration Date
14 June 2022
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486692000
Graduation Year
2022 (4 years ago)
PAC ID
6305221664
Group Practice PAC ID
8224115563
Professional Enrollment ID
I20220922001722
Address ID
MI483232185WE2300XRDXX376

Contacts

Main Contact
https://nppes.cms.hhs.gov/#/healthInformationExchange
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MICHAEL SHANE PEER (PA-C)

  • 5086 PARKGATE DR

    COMMERCE TWP, MI 483821499

    Phone: (313) 806-0039

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-08-16 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$16
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: 2022-09-22

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
I20220922001722IPhysician AssistantMITBD

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 48382)

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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: 8224115563View full group profile
NameSpecialtyState
Orthopedic Surgery, Sports MedicineMI
Orthopedic SurgeryMI
Orthopedic SurgeryWA
Physical Medicine And RehabilitationMI
-MI
Orthopedic SurgeryIL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Orthopedic Surgery, Osteopathic Manipulative MedicineMI

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL SHANE PEER (PA-C) in U.S. healthcare records?
The official identifier for MICHAEL SHANE PEER (PA-C) is NPI 1043940968.
Is MICHAEL SHANE PEER (PA-C) shown as active in public data?
Registry records indicate MICHAEL SHANE PEER (PA-C) maintains an active NPI.
How would a patient describe MICHAEL SHANE PEER (PA-C)'s focus?
For MICHAEL SHANE PEER (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL SHANE PEER (PA-C)?
Travel planning: use Commerce Twp, Michigan as the reference point for MICHAEL SHANE PEER (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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