MR. RALPH WIKTOR (PA-C) – Physician Assistant, NPI 1285674044
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MR. RALPH WIKTOR (PA-C)
11400 Joseph Campau St
Hamtramck, MI 482123041
Phone: (313) 366-5500
Fax: (313) 366-5505
Type: Location
11400, Joseph Campau Street, Joseph Campau Historic District, Hamtramck, Wayne County, Michigan, 48212, United States
HAMTRAMCK, MI 482123041
Phone: (313) 366-5500
Fax: (313) 366-5505
Type: Location
2861, Lake Charnwood Drive, Lake Charnwood, Troy, Oakland County, Michigan, 48098, United States
TROY, MI 480982120
Phone: (313) 434-2439
Fax: (248) 250-9566
Type: Mailing
10683 S SAGINAW ST STE B
GRAND BLANC, MI 484398127
Phone: (810) 771-4074
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $214.
Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($82).
Total Amount
$214
General + Research + Ownership
Payments
11
Total payment records
General Amount
$214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $82 |
| Neurocrine BioSciences Inc. | $37 |
| ABBVIE INC. | $32 |
| Supernus Pharmaceuticals, Inc. | $19 |
| Lundbeck LLC | $16 |
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: 2004-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040628000922 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI |
Reviews
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