DR. TAMMY SAMUEL DUSEVIC (DO) – Family Medicine Physician, NPI 1255308615
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in MI
Provider Addresses for DR. TAMMY SAMUEL DUSEVIC (DO)
19041 E 12 Mile Rd
Roseville, MI 480662609
Phone: (586) 758-6263
Fax: (586) 758-7725
Type: Location
19 Mile Road, Sterling Heights, Macomb County, Michigan, 48038, United States
STERLING HTS, MI 483131991
Phone: (586) 843-3935
Fax: (586) 843-3947
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $800.
Total Amount is formed as General ($800) + Research ($0) + Ownership ($0) = $800.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ABBVIE INC. ($181).
Total Amount
$800
General + Research + Ownership
Payments
43
Total payment records
General Amount
$800
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $181 |
| ITI, Inc. | $112 |
| Exact Sciences Corporation | $96 |
| Novo Nordisk Inc | $72 |
| Axsome Therapeutics, Inc. | $66 |
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: 2009-08-25
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20090825000418 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 75 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 60 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 61 | 61 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 18 | 18 | $0 |
Insurance plans in this area (ZIP 48066)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 25 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| U R O L O G Y | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI |
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