MR. ROGER ALLEN MAUSOLF (PA-C) – Medical Physician Assistant, NPI 1174883359
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MR. ROGER ALLEN MAUSOLF (PA-C)
3495 S CENTER RD
BURTON, MI 485191455
Phone:
Type: Mailing
8020 DAVISON RD
DAVISON, MI 484232029
Phone: (810) 653-4145
Type: Location
5222 WORCHESTER DR
SWARTZ CREEK, MI 484731268
Phone: (810) 513-1267
Type: Mailing
6071 W OUTER DR
DETROIT, MI 482352624
Phone: (810) 513-1267
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,073.
Total Amount is formed as General ($1,073) + Research ($0) + Ownership ($0) = $1,073.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Exact Sciences Corporation ($163).
Total Amount
$1,073
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,073
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $163 |
| Astellas Pharma US Inc | $108 |
| GlaxoSmithKline, LLC. | $82 |
| Lilly USA, LLC | $70 |
| Novo Nordisk Inc | $56 |
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: 2014-03-07
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 |
|---|---|---|---|---|
| I20140307001559 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 60 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 26 | 23 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 24 | 23 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 18 | 15 | $0 |
Insurance plans in this area (ZIP 48519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Physical Therapist In Private Practice | MI |
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