MR. MICHAEL RYAN BECKLEY (PA-C) – Physician Assistant, NPI 1114122728

MR. MICHAEL RYAN BECKLEY (PA-C) is a healthcare provider. based in Pontiac, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3631 (AZ). The NPI Number for MR. MICHAEL RYAN BECKLEY (PA-C) is 1114122728

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL RYAN BECKLEY (PA-C)
NPI
1114122728
Phone
(615) 928-6268
Address
50 N Perry St
Enumeration Date
15 June 2007
Last Update Date
7 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489425888
Graduation Year
2007 (19 years ago)
PAC ID
3072672476
Group Practice PAC ID
3971869942
Professional Enrollment ID
I20081029000838
Address ID
MI483862183WH320XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MR. MICHAEL RYAN BECKLEY (PA-C)

  • 50 N Perry St

    Pontiac, MI 483422217

    Phone: (615) 928-6268

    Type: Location

  • 800 S Washington Ave

    Saginaw, MI 486012551

    Phone: (615) 928-6268

    Type: Location

  • 5701 Bow Pointe Dr

    Clarkston, MI 483463198

    Phone: (615) 928-6268

    Type: Location

  • North 10th Street, Greentrails, North Mountain, Phoenix, Maricopa County, Arizona, 85022, United States

    PHOENIX, AZ 850208527

    Phone: (517) 896-3065

    Type: Mailing

  • 13838 S 46TH PL STE 320

    PHOENIX, AZ 850447804

    Phone: (480) 759-5151

    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: 2008-10-29

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
I20081029000838IPhysician AssistantMITBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg23023$0
99213Established patient office or other outpatient visit, 20-29 minutes6864$0
99214Established patient office or other outpatient visit, 30-39 minutes5351$0
96372Injection of drug or substance under skin or into muscle3431$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 48342)

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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: 3971869942View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantPA
-IL
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
Emergency MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify MR. MICHAEL RYAN BECKLEY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1114122728 for MR. MICHAEL RYAN BECKLEY (PA-C).
Is MR. MICHAEL RYAN BECKLEY (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MR. MICHAEL RYAN BECKLEY (PA-C) as active.
How should patients interpret MR. MICHAEL RYAN BECKLEY (PA-C)'s specialty?
The extract shows Physician Assistant for MR. MICHAEL RYAN BECKLEY (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. MICHAEL RYAN BECKLEY (PA-C)?
MR. MICHAEL RYAN BECKLEY (PA-C) is associated with Pontiac, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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