BRIDGET WIATER (MD) – Diagnostic Radiology Physician, NPI 1164482253

Diagnostic Radiology Physician

BRIDGET WIATER (MD) is a healthcare provider. based in Grosse pointe, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301072275 (MI). The NPI Number for BRIDGET WIATER (MD) is 1164482253

Main info

Female

28 Years Of Experience

Accepts Medicare Assignment

Name

BRIDGET WIATER (MD)

NPI

1164482253

Phone

(313) 473-1833

Address

468 Cadieux Rd

Enumeration Date

24 March 2006

Last Update Date

9 October 2022

Doctor Profile

Medical School Name

UNIVERSITY OF MICHIGAN MEDICAL SCHOOL

Secondary Phone

3134731605

Graduation Year

1998 (28 years ago)

PAC ID

9032016274

Group Practice PAC ID

3072875889

Professional Enrollment ID

I20041208000714

Address ID

MI482301507GR468XXRDXX300

Contacts

Secure Messaging

bwiater9979@direct.beaumont.edu

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

1,650 DIAGNOSTIC RADIOLOGY in MI

Provider Addresses for BRIDGET WIATER (MD)

468 Cadieux Rd
Grosse Pointe, MI 482301507
Phone: (313) 473-1833
Fax: (313) 473-6916
Type: Location
36555 26 Mile Rd Ste 3000
Lenox, MI 480483185
Phone: (947) 523-4021
Fax: (947) 523-4041
Type: Location
36555 26 Mile Rd Ste 1400
Lenox, MI 480483186
Phone: (947) 523-4020
Fax: (947) 523-4021
Type: Location
44250 Dequindre Rd
Sterling Heights, MI 483141002
Phone: (248) 964-5190
Fax: (248) 964-5199
Type: Location
44201 Dequindre Rd
Troy, MI 480851117
Phone: (248) 964-5190
Fax: (248) 964-5190
Type: Location
15959 Hall Rd
Macomb, MI 480445363
Phone: (248) 964-5190
Fax: (248) 964-5199
Type: Location
Beaumont Health, 26901, Beaumont Boulevard, Southfield, Oakland County, Michigan, 48033, United States
STE 3D
SOUTHFIELD, MI 480333849
Phone: (248) 423-2481
Type: Mailing
Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
400 FSC-PCS
ROYAL OAK, MI 48073
Phone: (248) 423-2481
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: 2004-12-08

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

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
I20041208000714	I	Diagnostic Radiology	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
71045	X-ray of chest, 1 view	437	431	$0
71046	X-ray of chest, 2 views	345	344	$0
74177	Ct scan of abdomen and pelvis with contrast	212	205	$0
70450	Ct scan head or brain without contrast	204	203	$0
74176	Ct scan of abdomen and pelvis without contrast	142	142	$0

View full utilization report →

Insurance plans in this area (ZIP 48230)

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Provider's Procedures

BRIDGET WIATER (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	MI	71250	CT scan chest	28	28
DIAGNOSTIC RADIOLOGY	MI	73110	X-ray of wrist, minimum of 3 views	60	57
DIAGNOSTIC RADIOLOGY	MI	73140	X-ray of fingers, minimum of 2 views	12	12
DIAGNOSTIC RADIOLOGY	MI	73630	X-ray of foot, minimum of 3 views	84	78
DIAGNOSTIC RADIOLOGY	MI	74177	CT scan of abdomen and pelvis with contrast	266	265

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: 3072875889View full group profile

Name	Specialty	State
KENT DONOVAN	-	MI
DR. JOHN DOUGLAS EBERSOLE (MD)	Interventional Radiology, Diagnostic Radiology	MI
MARTINA G MULLIGAN (ACNS-BC)	-	MI
DR. SUZANNE M MILLICAN (MD)	-	MI
LAKSHMI V. PANDRANGI (M.D.)	Family Practice	MI
MING LIN HSIEH	-	MI
MITUAL AMIN (MD)	P A T H O L O G Y	MI
MARIA THOMAS (MD)	-	MI
DR. BRIAN MATTHEW DIMMER (M.D.)	Emergency Medicine	CA
MR. WILFRED REGAN (PA-C)	-	MI