ELIZABETH BASCOM (MD) – Emergency Medicine Physician, NPI 1215977343

ELIZABETH BASCOM (MD) is a healthcare provider. based in Farmington hills, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301078414 (MI). The NPI Number for ELIZABETH BASCOM (MD) is 1215977343

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH BASCOM (MD)
NPI
1215977343
Phone
(248) 536-2127
Address
37000 Grand River Ave Ste 310
Enumeration Date
7 June 2006
Last Update Date
1 October 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2488493331
Graduation Year
2001 (25 years ago)
PAC ID
7618946401
Group Practice PAC ID
6709798325
Professional Enrollment ID
I20040928001320
Address ID
MI480754818SO16001RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for ELIZABETH BASCOM (MD)

  • 37000 Grand River Ave Ste 310

    Farmington Hills, MI 483352868

    Phone: (248) 536-2127

    Fax: (248) 893-6952

    Type: Location

  • 17717, Masonic Boulevard, Fraser, Macomb County, Michigan, 48026, United States

    FRASER, MI 480263158

    Phone: (586) 294-0600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Inari Medical, Inc. ($112).

Total Amount

$112

General + Research + Ownership

Payments

1

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$112
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: 2004-09-28

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
I20040928001320IEmergency 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
99285Emergency department visit with high level of medical decision making223214$0
99284Emergency department visit with moderate level of medical decision making10093$0
99291Critical care, first 30-74 minutes3331$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 48335)

Loading plans...

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: 6709798325View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
-MI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineMI
Physician AssistantMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to ELIZABETH BASCOM (MD)?
The federal identifier for ELIZABETH BASCOM (MD) is NPI 1215977343.
Is ELIZABETH BASCOM (MD)'s NPI currently valid?
The extract we use shows ELIZABETH BASCOM (MD) as active.
Does ELIZABETH BASCOM (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for ELIZABETH BASCOM (MD). Clinical services aligned with this taxonomy classification.
Does ELIZABETH BASCOM (MD) practice in Michigan?
You will see Farmington Hills, Michigan on file for ELIZABETH BASCOM (MD) alongside any extra practice locations.
Is ELIZABETH BASCOM (MD) a real provider?
This page reflects official NPPES data for NPI 1215977343. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

ANTONIO BONFIGLIO

Emergency Medicine Physician
37000 Grand River Ave Ste 310
NPI: 1588633960

ELIZABETH ROCHELLE ZIDE (MD)

Emergency Medicine Physician
6441 INKSTER RD STE 232
NPI: 1821049610

LINDA COX (MD)

Emergency Medicine Physician
30840, Northwestern Highway, Wood Creek Farms, Farmington Hills, Oakland County, Michigan, 48334, United States
NPI: 1912954397

DR. NABIL M METWALLY (MD)

Internal Medicine Physician
39353, Heatherbrook Drive, Farmington Brook, Farmington Hills, Oakland County, Michigan, 48331, United States
NPI: 1477591139

DR. JAMES JR. BISHOP (M.D.)

Emergency Medicine Physician
37000 Grand River Ave Ste 310
NPI: 1013958248

DR. PAUL E LACASSE (D.O.)

Emergency Medicine Physician
Beaumont Hospital - Farmington Hills, 28050, Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48336, United States
NPI: 1649207580
Beaumont Hospital - Farmington Hills, 28050, Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48336, United States
NPI: 1568496370

SANFORD J VIEDER (DO)

Emergency Medicine Physician
Beaumont Hospital - Farmington Hills, 28050, Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48336, United States
NPI: 1952335028

HAFEZ BAZZI (MD)

Emergency Medicine Physician
17717, Masonic Boulevard, Fraser, Macomb County, Michigan, 48026, United States
NPI: 1790700292