DR. DOMINIC JAMES MAFFETONE (MD) – Family Medicine Physician, NPI 1164950341
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. DOMINIC JAMES MAFFETONE (MD)
1 Genesys Pkwy
Grand Blanc, MI 484398065
Phone: (810) 606-5000
Type: Location
6379 Silver Lake Rd
Linden, MI 484518706
Phone: (810) 735-7847
Fax: (810) 249-4312
Type: Location
23133 ORCHARD LAKE RD STE 102
FARMINGTON, MI 483363278
Phone: (248) 476-2420
Type: Location
6379, Silver Lake Road, Linden, Genesee County, Michigan, 48451, United States
LINDEN, MI 484518706
Phone: (810) 735-7847
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 151 Open Payments records for all available years, with a total value of $2,721.
Total Amount is formed as General ($2,721) + Research ($0) + Ownership ($0) = $2,721.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($426).
Total Amount
$2,721
General + Research + Ownership
Payments
151
Total payment records
General Amount
$2,721
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $426 |
| AstraZeneca Pharmaceuticals LP | $364 |
| Novo Nordisk Inc | $325 |
| Exact Sciences Corporation | $220 |
| ABBVIE INC. | $134 |
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: 2020-08-03
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 |
|---|---|---|---|---|
| I20200803003165 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 207 | 93 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 195 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 60 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 67 | 67 | $0 |
| 81002 | Urinalysis, manual test | 39 | 32 | $0 |
Insurance plans in this area (ZIP 48439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Family Practice, General Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Infectious Disease, Internal Medicine | ME | |
| Diagnostic Radiology | MI | |
| Nurse Practitioner | MI | |
| H O S P I T A L I S T | MI |
Reviews
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