KELLI LYNNE VIRGIN (D.O.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1124464268
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
300 ENDOCRINOLOGY in MI
Provider Addresses for KELLI LYNNE VIRGIN (D.O.)
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 497831822
Phone: (906) 253-0113
Fax: (586) 582-6631
Type: Mailing
11855 E 12 MILE RD STE 400
WARREN, MI 480933471
Phone: (586) 586-6630
Fax: (586) 582-6631
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Novo Nordisk Inc ($87).
Total Amount
$240
General + Research + Ownership
Payments
13
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-10-08
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 |
|---|---|---|---|---|
| I20181008001186 | I | Endocrinology | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 181 | 136 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 72 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 62 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 37 | 37 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 19 | 13 | $0 |
Insurance plans in this area (ZIP 49783)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| Pain Management | IL | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hospitalist, Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI |
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