DR. NATHAN JAMES FITTON (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1114366499

DR. NATHAN JAMES FITTON (D.O.) is a healthcare provider. based in East lansing, Michigan. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5101020411 (MI). The NPI Number for DR. NATHAN JAMES FITTON (D.O.) is 1114366499

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN JAMES FITTON (D.O.)
NPI
1114366499
Phone
(517) 884-2976
Address
804 SERVICE RD # A201
Enumeration Date
19 June 2013
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5178846100
Graduation Year
2013 (13 years ago)
PAC ID
6406098128
Group Practice PAC ID
8628404936
Professional Enrollment ID
I20161026002562
Address ID
MI488235353EA4660XRDXX410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

244 SPORTS MEDICINE in MI

Provider Addresses for DR. NATHAN JAMES FITTON (D.O.)

  • 804 SERVICE RD # A201

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • 4660 S HAGADORN RD STE 420

    EAST LANSING, MI 488235353

    Phone: (517) 884-6100

    Fax: (517) 884-6233

    Type: Location

  • 5900 Byron Center Ave SW

    Wyoming, MI 495199606

    Phone: (616) 252-7200

    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: 2016-10-26

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
I20161026002562IFamily PracticeMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3716$0
99214Established patient office or other outpatient visit, 30-39 minutes2413$0
View full utilization report →

Insurance plans in this area (ZIP 48824)

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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: 8628404936View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
Family PracticeMI
Osteopathic Manipulative MedicineMI
-MI
Physical Medicine And Rehabilitation, Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
-MI
Internal MedicineMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

How do I look up DR. NATHAN JAMES FITTON (D.O.) by NPI?
Use NPI 1114366499 when you need to reference DR. NATHAN JAMES FITTON (D.O.) in forms, claims, or directories.
Is DR. NATHAN JAMES FITTON (D.O.)'s NPI currently valid?
The extract we use shows DR. NATHAN JAMES FITTON (D.O.) as active.
What does DR. NATHAN JAMES FITTON (D.O.) treat or focus on?
Patients typically see DR. NATHAN JAMES FITTON (D.O.) under the specialty Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. NATHAN JAMES FITTON (D.O.)?
The snapshot lists East Lansing, Michigan for DR. NATHAN JAMES FITTON (D.O.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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