DR. BENJAMIN JACK DOERR (D.O.) – Emergency Medicine Physician, NPI 1083842546

DR. BENJAMIN JACK DOERR (D.O.) is a healthcare provider. based in Mount clemens, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101018228 (MI). The NPI Number for DR. BENJAMIN JACK DOERR (D.O.) is 1083842546

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN JACK DOERR (D.O.)
NPI
1083842546
Phone
(586) 493-8000
Address
1000 HARRINGTON ST
Enumeration Date
23 June 2009
Last Update Date
11 March 2023

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5864938000
Graduation Year
2009 (17 years ago)
PAC ID
4789833476
Group Practice PAC ID
5395166482
Professional Enrollment ID
I20121015000055
Address ID
MI480432920MO1000XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. BENJAMIN JACK DOERR (D.O.)

  • 1000 HARRINGTON ST

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8000

    Type: Mailing

  • McLaren Macomb, 1000, Harrington Street, Mount Clemens, Clinton Township, Macomb County, Michigan, 48043, United States

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8000

    Type: Location

  • 54549, Stillwater Drive, Penzien Farms, Macomb Township, Macomb County, Michigan, 48042, United States

    MACOMB, MI 480426105

    Phone: (248) 765-3755

    Type: Mailing

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: 2012-10-15

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
I20121015000055IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making226214$0
99291Critical care, first 30-74 minutes5150$0
99284Emergency department visit with moderate level of medical decision making3735$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 48043)

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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: 5395166482View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
-MI
Emergency MedicineMI

Reviews

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Frequently asked questions

What is the registry number for DR. BENJAMIN JACK DOERR (D.O.)?
The registry entry for DR. BENJAMIN JACK DOERR (D.O.) shows NPI 1083842546.
Is DR. BENJAMIN JACK DOERR (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. BENJAMIN JACK DOERR (D.O.) as active.
How should patients interpret DR. BENJAMIN JACK DOERR (D.O.)'s specialty?
The extract shows Emergency Medicine Physician for DR. BENJAMIN JACK DOERR (D.O.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BENJAMIN JACK DOERR (D.O.)?
DR. BENJAMIN JACK DOERR (D.O.) is associated with Mount Clemens, Michigan in the same public data insurers reference.
Why is information missing for DR. BENJAMIN JACK DOERR (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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