IAN SKINNER (D.O.) – Emergency Medicine Physician, NPI 1225455371

IAN SKINNER (D.O.) is a healthcare provider. based in Clinton township, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101021255 (MI). The NPI Number for IAN SKINNER (D.O.) is 1225455371

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
IAN SKINNER (D.O.)
NPI
1225455371
Phone
(586) 263-2953
Address
15855 19 MILE RD
Enumeration Date
26 March 2014
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148984000
Graduation Year
2014 (12 years ago)
PAC ID
3274859657
Group Practice PAC ID
8426326554
Professional Enrollment ID
I20210817000721
Address ID
OH430818971WE500XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for IAN SKINNER (D.O.)

  • 15855 19 MILE RD

    CLINTON TOWNSHIP, MI 480383504

    Phone: (586) 263-2953

    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 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-01-28 • Largest payer in this snapshot: LifeNet Health ($140).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LifeNet Health$140
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: 2021-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190429001719IEmergency MedicineCATBD
I20210817000721IEmergency MedicineOHTBD

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 making212195$0
99284Emergency department visit with moderate level of medical decision making8885$0
99283Emergency department visit with low level of medical decision making3030$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 8426326554View full group profile
NameSpecialtyState
Nurse PractitionerOH
-IN
Nurse PractitionerOH
Emergency Medicine, General PracticeWV
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineKY
Internal Medicine, Emergency MedicineOH
-NY
Emergency MedicineOH

Reviews

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Frequently asked questions

What unique ID ties claims to IAN SKINNER (D.O.)?
NPI 1225455371 is assigned to IAN SKINNER (D.O.) under the national enumeration system.
Does this profile mean IAN SKINNER (D.O.) is currently active?
Yes — IAN SKINNER (D.O.) appears active in the national provider directory.
Can you summarize IAN SKINNER (D.O.)'s specialty in plain language?
Clinically, the directory lists IAN SKINNER (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is IAN SKINNER (D.O.)'s primary listing?
We display Clinton Township, Michigan because that is what the record indicates for IAN SKINNER (D.O.).
Is IAN SKINNER (D.O.) a real provider?
This page reflects official NPPES data for NPI 1225455371. Always confirm identity and privileges with the practice and licensing boards.

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