DR. BO PANG (DO) – Facial Plastic Surgery Physician, NPI 1134579519

DR. BO PANG (DO) is a healthcare provider. based in Madison heights, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials DO. They hold a License No. DO3270 (ME). The NPI Number for DR. BO PANG (DO) is 1134579519

Main info

Female
10 Years Of Experience
Name
DR. BO PANG (DO)
NPI
1134579519
Phone
(248) 967-7795
Address
27351 DEQUINDRE RD
Enumeration Date
16 June 2016
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2076211000
Graduation Year
2016 (10 years ago)
PAC ID
2860899671
Group Practice PAC ID
1254245715
Professional Enrollment ID
I20210921003644
Address ID
ME043308160AU35XXXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

428 OTOLARYNGOLOGY in MI

Provider Addresses for DR. BO PANG (DO)

  • 27351 DEQUINDRE RD

    MADISON HEIGHTS, MI 480713487

    Phone: (248) 967-7795

    Fax: (248) 967-7794

    Type: Location

  • 35 MEDICAL CENTER PKWY

    AUGUSTA, ME 043308160

    Phone: (207) 622-8600

    Fax: (207) 622-8601

    Type: Mailing

  • 35 Medical Center Pkwy

    Augusta, ME 043308160

    Phone: (207) 622-8600

    Fax: (207) 622-8601

    Type: Location

  • 27351 Dequindre Rd

    Madison Heights, MI 480713487

    Phone: (248) 967-7795

    Fax: (248) 967-7794

    Type: Location

  • Saint John Macomb-Oakland Hospital, Madison Heights, 27351, Dequindre Road, Madison Heights, Macomb County, Michigan, 48071, United States

    MADISON HEIGHTS, MI 480713487

    Phone: (248) 967-7795

    Fax: (248) 967-7794

    Type: Mailing

  • 81 MEDICAL CENTER DR STE 1150

    BRUNSWICK, ME 040112765

    Phone: (207) 721-0911

    Fax: (207) 721-9729

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $2,817.

Total Amount is formed as General ($2,817) + Research ($0) + Ownership ($0) = $2,817.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AERIN MEDICAL INC. ($1,631).

Total Amount

$2,817

General + Research + Ownership

Payments

42

Total payment records

General Amount

$2,817

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2022-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210921003644IOtolaryngologyMETBD
I20220818003822IOtolaryngologyHITBD

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
95004Test for allergy using allergenic extract67814$0
95024Test for allergy using allergenic extract injected into skin59114$0
99214Established patient office or other outpatient visit, 30-39 minutes513281$0
31231Diagnostic exam of nasal passages using an endoscope473266$0
31575Diagnostic exam of voice box using a flexible endoscope204149$0
View full utilization report →

Insurance plans in this area (ZIP 48071)

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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: 1254245715View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BO PANG (DO)?
NPI 1134579519 is assigned to DR. BO PANG (DO) under the national enumeration system.
Is DR. BO PANG (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. BO PANG (DO) list a primary specialty?
If you are matching referrals, note Facial Plastic Surgery Physician for DR. BO PANG (DO). Clinical services aligned with this taxonomy classification.
What location shows for DR. BO PANG (DO)?
We surface Madison Heights, Michigan for DR. BO PANG (DO) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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