DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) – Surgery Physician, NPI 1083775407

DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) is a healthcare provider. based in Clinton township, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 4301075676 (MI). The NPI Number for DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) is 1083775407

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA KATHLEEN DALLA VECCHIA (M.D.)
NPI
1083775407
Phone
(586) 263-5410
Address
43331 COMMONS DR
Enumeration Date
12 December 2006
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3139162600
Graduation Year
1994 (32 years ago)
PAC ID
2062313935
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20040115000285
Address ID
MI482022608DE2799XBLVD400

Contacts

Secure Messaging
ldallavecchia248899@direct.hfhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,444 GENERAL SURGERY in MI

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Provider Addresses for DR. LAURA KATHLEEN DALLA VECCHIA (M.D.)

  • 43331, Commons Drive, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480381109

    Phone: (586) 263-5410

    Fax: (586) 263-7131

    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 10 Open Payments records for all available years, with a total value of $2,156.

Total Amount is formed as General ($2,156) + Research ($0) + Ownership ($0) = $2,156.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: AXOGEN ($1,473).

Total Amount

$2,156

General + Research + Ownership

Payments

10

Total payment records

General Amount

$2,156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

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: 2004-01-15

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
I20040115000285IGeneral SurgeryMITBD

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 minutes4238$0
19301Partial removal of breast1818$0
38525Biopsy or removal of deep lymph nodes of underarm1717$0
38900Imaging of lymph nodes during surgery1515$0
99215Established patient office or other outpatient visit, 40-54 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

How is DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) with NPI 1083775407.
Is DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) listed as active for patients and plans?
The listing shows DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) as active in the NPI system.
What healthcare role does DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) hold?
Scheduling teams often label DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) under Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LAURA KATHLEEN DALLA VECCHIA (M.D.)?
DR. LAURA KATHLEEN DALLA VECCHIA (M.D.)'s geographic hint is Clinton Township, Michigan in our summary view.
Is the information about DR. LAURA KATHLEEN DALLA VECCHIA (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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