CARL COLLINS – Internal Medicine Physician, NPI 1063900496
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 DIAGNOSTIC RADIOLOGY in MI
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Provider Addresses for CARL COLLINS
McLaren Oakland, 50, North Perry Street, Pontiac, Oakland County, Michigan, 48342, United States
PONTIAC, MI 483422217
Phone: (248) 338-5000
Type: Mailing
16001 W 9 MILE RD
SOUTHFIELD, MI 480754818
Phone: (248) 849-3000
Type: Mailing
7211 Wellington Dr Ste 101
Knoxville, TN 379195968
Phone: (865) 588-8005
Fax: (865) 588-7716
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: 2023-10-10
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 |
|---|---|---|---|---|
| I20231010003629 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 76376 | 3d radiographic procedure | 12 | 12 | $0 |
Insurance plans in this area (ZIP 48342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | MI | |
| Physician Assistant | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Physician Assistant | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI |
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