FRITZ DANIEL BRINK (D.O.) – General Practice Physician, NPI 1063862415

FRITZ DANIEL BRINK (D.O.) is a healthcare provider. based in Warren, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101022720 (MI). The NPI Number for FRITZ DANIEL BRINK (D.O.) is 1063862415

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
FRITZ DANIEL BRINK (D.O.)
NPI
1063862415
Phone
(586) 576-4140
Address
12000 E 12 MILE RD
Enumeration Date
16 June 2016
Last Update Date
31 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7272897137
Graduation Year
2016 (10 years ago)
PAC ID
9032400171
Group Practice PAC ID
2961637715
Professional Enrollment ID
I20221011003029
Address ID
FL337074563SO1609XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

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Provider Addresses for FRITZ DANIEL BRINK (D.O.)

  • East 12 Mile Road, Warren, Macomb County, Michigan, 48088, United States

    WARREN, MI 480933570

    Phone: (586) 576-4140

    Fax: (586) 576-4146

    Type: Mailing

  • 1501 PASADENA AVE S

    SOUTH PASADENA, FL 337073717

    Phone:

    Type: Mailing

  • 1609 PASADENA AVE S STE 3M

    SOUTH PASADENA, FL 337074563

    Phone: (586) 576-4140

    Fax: (586) 576-4146

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $6,801.

Total Amount is formed as General ($6,801) + Research ($0) + Ownership ($0) = $6,801.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,283).

Total Amount

$6,801

General + Research + Ownership

Payments

78

Total payment records

General Amount

$6,801

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2022-10-11

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
I20221011003029IGeneral SurgeryFLTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less16659$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7370$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less7317$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7147$0
99213Established patient office or other outpatient visit, 20-29 minutes5836$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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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: 2961637715View full group profile
NameSpecialtyState
-FL
General SurgeryFL
-FL
General Surgery, Colorectal Surgery (Proctology)AZ
General Surgery, Colorectal Surgery (Proctology)FL
Nurse PractitionerFL
Orthopedic SurgeryFL
N E U R O S U R G E R YFL
Physician AssistantFL
General SurgeryFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for FRITZ DANIEL BRINK (D.O.)?
FRITZ DANIEL BRINK (D.O.) — NPI 1063862415 — is the standard way to identify this listing.
Does the file indicate FRITZ DANIEL BRINK (D.O.) is practicing under active NPI?
Directory data currently reports FRITZ DANIEL BRINK (D.O.) as active.
What healthcare role does FRITZ DANIEL BRINK (D.O.) hold?
Scheduling teams often label FRITZ DANIEL BRINK (D.O.) under General Practice Physician. Clinical services aligned with this taxonomy classification.
Where should I expect FRITZ DANIEL BRINK (D.O.) on a map?
Expect Warren, Michigan as a primary anchor for FRITZ DANIEL BRINK (D.O.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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