DR. ANIL SETHI – Orthopaedic Surgery of the Spine Physician, NPI 1104019280
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,081 ORTHOPEDIC SURGERY in MI
Provider Addresses for DR. ANIL SETHI
Mack Avenue, Detroit, Wayne County, Michigan, 48215, United States
DETROIT, MI 482012466
Phone: (313) 832-0500
Fax: (313) 966-8400
Type: Mailing
4201 Saint Antoine St
Detroit, MI 482012153
Phone: (313) 745-7194
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $268.
Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.
Last reported payment date: 2023-08-30 • Largest payer in this snapshot: SI-BONE, INC. ($134).
Total Amount
$268
General + Research + Ownership
Payments
2
Total payment records
General Amount
$268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $134 |
| Cerapedics Inc. | $134 |
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: 2008-11-20
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 |
|---|---|---|---|---|
| I20081120000553 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 46 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 14 | $0 |
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Clinical Psychologist | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Diagnostic Radiology | MI | |
| Vascular Surgery, General Surgery | MI | |
| Physician Assistant | MI |
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