DR. JOHN BUTLER DITCHMAN (D.O.) – Emergency Medicine Physician, NPI 1154410165

DR. JOHN BUTLER DITCHMAN (D.O.) is a healthcare provider. based in Washington, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101012503 (MI). The NPI Number for DR. JOHN BUTLER DITCHMAN (D.O.) is 1154410165

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN BUTLER DITCHMAN (D.O.)
NPI
1154410165
Phone
(586) 786-7319
Address
57662 GREY FOX GLN
Enumeration Date
11 October 2006
Last Update Date
9 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184272680
Graduation Year
1994 (32 years ago)
PAC ID
5395792022
Group Practice PAC ID
0244565729
Professional Enrollment ID
I20240731003002
Address ID
IL629602467ME28XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. JOHN BUTLER DITCHMAN (D.O.)

  • Grey Fox Glen, West Ridge, Washington Charter Township, Macomb County, Michigan, 48094, United States

    WASHINGTON, MI 480943587

    Phone: (586) 786-7319

    Mailing address matches the actual address.

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: 2024-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050405001040IEmergency MedicineMITBD
I20240731003002IEmergency MedicineILTBD
I20241004000948IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making141128$0
99284Emergency department visit with moderate level of medical decision making123108$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only6560$0
99291Critical care, first 30-74 minutes5751$0
View full utilization report →

Insurance plans in this area (ZIP 48094)

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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: 0244565729View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineIL
Family PracticeIL
Family PracticeIL
Emergency Medicine, Hospice/Palliative CareVA
Emergency Medicine, Internal MedicineMS
-IL
Family Practice, Emergency Medicine, Emergency MedicineMI
Emergency MedicineIL
Emergency MedicineIL

Reviews

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Frequently asked questions

What is the registry number for DR. JOHN BUTLER DITCHMAN (D.O.)?
The registry entry for DR. JOHN BUTLER DITCHMAN (D.O.) shows NPI 1154410165.
Is DR. JOHN BUTLER DITCHMAN (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOHN BUTLER DITCHMAN (D.O.) as active.
How should patients interpret DR. JOHN BUTLER DITCHMAN (D.O.)'s specialty?
The extract shows Emergency Medicine Physician for DR. JOHN BUTLER DITCHMAN (D.O.). Clinical services aligned with this taxonomy classification.
Is DR. JOHN BUTLER DITCHMAN (D.O.) tied to Washington, Michigan?
If you are local to Washington, Michigan, DR. JOHN BUTLER DITCHMAN (D.O.) may be relevant to your search.
Can I export DR. JOHN BUTLER DITCHMAN (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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