JACLYN FACKLER – Gastroenterology Physician, NPI 1174984801
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
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Provider Addresses for JACLYN FACKLER
Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States
CLINTON TOWNSHIP, MI 480383504
Phone: (586) 263-2300
Type: Location
3702 S TIMBERLINE RD STE A
FORT COLLINS, CO 805253625
Phone: (970) 207-9773
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $477.
Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Gilead Sciences, Inc. ($93).
Total Amount
$477
General + Research + Ownership
Payments
22
Total payment records
General Amount
$477
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-06-29
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 |
|---|---|---|---|---|
| I20220629001463 | I | Internal Medicine | CO | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 411 | 173 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 126 | 126 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 84 | 78 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 80 | 80 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 65 | 38 | $0 |
Insurance plans in this area (ZIP 48038)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| G A S T R O E N T E R O L O G Y | CO |
Reviews
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