MRS. SARA ANN DUMICH (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1093071094
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
244 SPORTS MEDICINE in MI
Provider Addresses for MRS. SARA ANN DUMICH (M.D.)
5900 BYRON CENTER AVE SW
MEDICAL ADMINISTRATION
WYOMING, MI 495199606
Phone: (616) 252-3243
Fax: (616) 252-0260
Type: Mailing
2215 44TH ST SW
WYOMING, MI 495196439
Phone: (616) 252-8400
Fax: (616) 252-8455
Type: Location
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
7751 BYRON CENTER AVE SW STE A
BYRON CENTER, MI 493158001
Phone: (616) 878-3321
Type: Location
611 W PARK ST
FAPC
URBANA, IL 61801
Phone:
Type: Mailing
2300 S 1ST ST
CHAMPAIGN, IL 618207661
Phone: (217) 383-9400
Fax: (217) 383-9694
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: 2016-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150901001016 | I | Family Practice | MI | TBD |
| I20160817000514 | I | Family Practice | IL | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 36 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 17 | $0 |
Insurance plans in this area (ZIP 49519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Vascular Surgery | IL | |
| - | MI | |
| - | MI | |
| A N E S T H E S I O L O G Y | TX | |
| Clinical Social Worker | MI |
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