JEFFREY FISHER – Pediatric Adolescent Medicine Physician, NPI 1194930891

JEFFREY FISHER is a healthcare provider. based in Warren, Michigan. specializing in INTERNAL MEDICINE. They hold a License No. 4301085699 (MI). The NPI Number for JEFFREY FISHER is 1194930891

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY FISHER
NPI
1194930891
Phone
(586) 751-0732
Address
8545 COMMON RD
Enumeration Date
14 May 2007
Last Update Date
7 December 2017

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
5867510732
Graduation Year
2005 (21 years ago)
PAC ID
0749326668
Group Practice PAC ID
9638271505
Professional Enrollment ID
I20091007000402
Address ID
MI480933465WA11885RDXX525
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for JEFFREY FISHER

  • 8545, Common Road, Warren Civic Center, Warren, Macomb County, Michigan, 48093, United States

    # 200

    WARREN, MI 480936772

    Phone: (586) 751-0732

    Fax: (586) 751-3822

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($32).

Total Amount

$86

General + Research + Ownership

Payments

5

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-10-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091007000402IInternal MedicineMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12877$0
36415Insertion of needle into vein for collection of blood sample11478$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5656$0
81003Automated urinalysis test5247$0
99215Established patient office or other outpatient visit, 40-54 minutes4732$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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Provider's Procedures

JEFFREY FISHER performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI90670Pneumococcal vaccine for injection into muscle1818

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: 9638271505View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineMI
Internal Medicine, Pediatric MedicineMI

Reviews

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Frequently asked questions

Can I use this page to confirm JEFFREY FISHER's NPI?
Yes. JEFFREY FISHER is listed with NPI 1194930891 in the public NPI dataset.
Does the file indicate JEFFREY FISHER is practicing under active NPI?
Directory data currently reports JEFFREY FISHER as active.
What is JEFFREY FISHER's specialty?
The listing groups JEFFREY FISHER with Pediatric Adolescent Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does JEFFREY FISHER serve?
JEFFREY FISHER's listing highlights Warren, Michigan; more addresses can appear in NPPES.
Why does JEFFREY FISHER have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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