MICHAEL JOSEPH SKIPSKI (OD) – Optometrist, NPI 1104673904

MICHAEL JOSEPH SKIPSKI (OD) is a healthcare provider. based in Beulah, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005783 (MI). The NPI Number for MICHAEL JOSEPH SKIPSKI (OD) is 1104673904

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOSEPH SKIPSKI (OD)
NPI
1104673904
Phone
(231) 882-5542
Address
1144 US 31
Enumeration Date
1 May 2024
Last Update Date
16 June 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2319478667
Graduation Year
2024 (2 years ago)
PAC ID
9830635606
Group Practice PAC ID
7810046315
Professional Enrollment ID
I20240729002956
Address ID
MI496842207TR527XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for MICHAEL JOSEPH SKIPSKI (OD)

  • 1144 US 31

    Beulah, MI 496179734

    Phone: (231) 882-5542

    Type: Location

  • 882 W Mile Rd NW

    Kalkaska, MI 496469481

    Phone: (231) 258-9781

    Type: Location

  • 527 W FRONT ST

    TRAVERSE CITY, MI 496842207

    Phone: (231) 947-8667

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Alcon Vision LLC ($182).

Total Amount

$200

General + Research + Ownership

Payments

3

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2024-07-29

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
I20240729002956IOptometryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49617)

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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: 7810046315View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL JOSEPH SKIPSKI (OD) in U.S. healthcare records?
The official identifier for MICHAEL JOSEPH SKIPSKI (OD) is NPI 1104673904.
Is MICHAEL JOSEPH SKIPSKI (OD) still an active registrant?
MICHAEL JOSEPH SKIPSKI (OD) carries an active NPI according to the public dataset.
How would a patient describe MICHAEL JOSEPH SKIPSKI (OD)'s focus?
For MICHAEL JOSEPH SKIPSKI (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL JOSEPH SKIPSKI (OD)?
Travel planning: use Beulah, Michigan as the reference point for MICHAEL JOSEPH SKIPSKI (OD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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