DR. CHARLOTTE M LIIOI HARTZELL (MD) – Ophthalmology Physician, NPI 1184615767

DR. CHARLOTTE M LIIOI HARTZELL (MD) is a healthcare provider. based in Detroit, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 4301052708 (MI). The NPI Number for DR. CHARLOTTE M LIIOI HARTZELL (MD) is 1184615767

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLOTTE M LIIOI HARTZELL (MD)
NPI
1184615767
Phone
(313) 448-9006
Address
400 MACK AVE.
Enumeration Date
2 November 2005
Last Update Date
16 October 2019

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3135778900
Graduation Year
1988 (38 years ago)
PAC ID
3779678271
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20070928000169
Address ID
MI482011423DE4717XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

844 OPHTHALMOLOGY in MI

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Provider Addresses for DR. CHARLOTTE M LIIOI HARTZELL (MD)

  • Hospice of Michigan, 400, Mack Avenue, Chinatown, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    SUITE 2 WEST - CREDENTIALING DEPT.

    DETROIT, MI 482012136

    Phone: (313) 448-9006

    Type: Mailing

  • West 12 Mile Road, Southfield, Oakland County, Michigan, 48377, United States

    SOUTHFIELD, MI 480341774

    Phone: (248) 594-6702

    Fax: (248) 594-6738

    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: 2007-09-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070928000169IOphthalmologyMITBD

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
92014Established patient complete exam of visual system120113$0
92133Imaging of optic nerve7978$0
92012Established patient problem focused exam of visual system7658$0
92083Exam of visual field with extended testing6963$0
92004New patient complete exam of visual system5353$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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Provider's Procedures

DR. CHARLOTTE M LIIOI HARTZELL (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMI92012Eye and medical examination for diagnosis and treatment, established patient12891
OPHTHALMOLOGYMI92083Measurement of field of vision during daylight conditions5753

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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What number should I use to identify DR. CHARLOTTE M LIIOI HARTZELL (MD) for billing?
Administrative and clinical systems typically use NPI 1184615767 for DR. CHARLOTTE M LIIOI HARTZELL (MD).
Is DR. CHARLOTTE M LIIOI HARTZELL (MD)'s NPI status active today?
Active status means DR. CHARLOTTE M LIIOI HARTZELL (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. CHARLOTTE M LIIOI HARTZELL (MD) provide?
DR. CHARLOTTE M LIIOI HARTZELL (MD)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CHARLOTTE M LIIOI HARTZELL (MD)?
The directory associates DR. CHARLOTTE M LIIOI HARTZELL (MD) with Detroit, Michigan. Check all listed addresses for suites or satellite offices.
Can I export DR. CHARLOTTE M LIIOI HARTZELL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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