MELISSA E BIBICOFF (DO) – Obstetrics & Gynecology Physician, NPI 1144560251

MELISSA E BIBICOFF (DO) is a healthcare provider. based in Traverse city, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 5101020321 (MI). The NPI Number for MELISSA E BIBICOFF (DO) is 1144560251

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA E BIBICOFF (DO)
NPI
1144560251
Phone
(231) 935-5000
Address
1105 Sixth St
Enumeration Date
26 February 2013
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2313920650
Graduation Year
2013 (13 years ago)
PAC ID
5597997684
Group Practice PAC ID
3870584352
Professional Enrollment ID
I20170630000399
Address ID
MI496842369TR1200XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,739 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for MELISSA E BIBICOFF (DO)

  • 1105 Sixth St

    Traverse City, MI 496842345

    Phone: (231) 935-5000

    Type: Location

  • 3960 W ROYAL DR

    TRAVERSE CITY, MI 496849200

    Phone: (231) 947-0404

    Fax: (231) 947-2190

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-01-09 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-09

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: 2017-06-30

PECOS data refreshed: 2026-06-15

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
I20170630000399IObstetrics/GynecologyMITBD

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 49684)

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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: 3870584352View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What identifier follows MELISSA E BIBICOFF (DO) across health systems?
The NPI 1144560251 uniquely identifies MELISSA E BIBICOFF (DO) in U.S. healthcare data.
Quick check: is MELISSA E BIBICOFF (DO) active?
Public NPPES data shows MELISSA E BIBICOFF (DO) with an active NPI status right now.
What does the directory say MELISSA E BIBICOFF (DO) does?
Insurance directories may phrase it differently, but here MELISSA E BIBICOFF (DO) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MELISSA E BIBICOFF (DO)?
MELISSA E BIBICOFF (DO) shows a connection to Traverse City, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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