DR. NICHOLAS TYLER BARJAKTAROVICH (D.O.) – Family Medicine Physician, NPI 1265826804
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for DR. NICHOLAS TYLER BARJAKTAROVICH (D.O.)
3003 S BALDWIN RD
LAKE ORION, MI 48359
Phone: (248) 391-9090
Fax: (248) 391-9210
Type: Location
50 N Perry St
Pontiac, MI 483422217
Phone: (248) 338-5392
Fax: (248) 338-5567
Type: Location
3003 S Baldwin Rd
Lake Orion, MI 48359
Phone: (248) 391-9090
Fax: (248) 391-9210
Type: Location
30550 UTICA RD
ROSEVILLE, MI 480661528
Phone: (586) 771-0290
Fax: (586) 771-5450
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: 2018-07-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180720002362 | 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 | 136 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 92 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 51 | 51 | $0 |
Insurance plans in this area (ZIP 48359)
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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 | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Vascular Surgery, General Surgery | MI |
Reviews
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