STEPHANIE M MONTROSE (DO) – Family Medicine Physician, NPI 1083062681

STEPHANIE M MONTROSE (DO) is a healthcare provider. based in Clarkston, Michigan. specializing in FAMILY PRACTICE, OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. 5101022435 (MI). The NPI Number for STEPHANIE M MONTROSE (DO) is 1083062681

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE M MONTROSE (DO)
NPI
1083062681
Phone
(248) 625-2621
Address
5701 BOW POINTE DR STE 100
Enumeration Date
25 May 2016
Last Update Date
24 September 2020

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2486252621
Graduation Year
2016 (10 years ago)
PAC ID
8426346214
Group Practice PAC ID
2466938048
Professional Enrollment ID
I20200113000159
Address ID
MI483463199CL5701XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for STEPHANIE M MONTROSE (DO)

  • 5701 BOW POINTE DR STE 100

    CLARKSTON, MI 483463199

    Phone: (248) 625-2621

    Fax: (248) 625-2622

    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 65 Open Payments records for all available years, with a total value of $964.

Total Amount is formed as General ($964) + Research ($0) + Ownership ($0) = $964.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: PFIZER INC. ($265).

Total Amount

$964

General + Research + Ownership

Payments

65

Total payment records

General Amount

$964

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2020-01-13

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
I20200113000159IFamily PracticeMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes500180$0
G0442Annual alcohol misuse screening, 5 to 15 minutes130130$0
99497Advance care planning, first 30 minutes120120$0
G0444Annual depression screening, 5 to 15 minutes106106$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit104104$0
View full utilization report →

Insurance plans in this area (ZIP 48346)

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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: 2466938048View full group profile
NameSpecialtyState
Internal MedicineMI
Nurse PractitionerMI
Internal MedicineMI
Internal Medicine, Pediatric Medicine, Pediatric MedicineMI
Physical Medicine And RehabilitationMI
Pediatric Medicine, Internal MedicineMI
Internal Medicine, HospitalistMI
Clinical Social WorkerMI
Nurse PractitionerNV
Physician AssistantMI

Reviews

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Frequently asked questions

Does STEPHANIE M MONTROSE (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STEPHANIE M MONTROSE (DO) uses 1083062681.
Does the file indicate STEPHANIE M MONTROSE (DO) is practicing under active NPI?
Directory data currently reports STEPHANIE M MONTROSE (DO) as active.
What is STEPHANIE M MONTROSE (DO)'s specialty?
The listing groups STEPHANIE M MONTROSE (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does STEPHANIE M MONTROSE (DO) list a practice location?
Patients near Clarkston, Michigan may find STEPHANIE M MONTROSE (DO) in results; validate coverage separately.
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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