MR. BRIAN DAVID MACAULEY (PA-C) – Physician Assistant, NPI 1295776953

MR. BRIAN DAVID MACAULEY (PA-C) is a healthcare provider. based in Grayling, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601002787 (MI). The NPI Number for MR. BRIAN DAVID MACAULEY (PA-C) is 1295776953

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRIAN DAVID MACAULEY (PA-C)
NPI
1295776953
Phone
(989) 348-0550
Address
1250 E Michigan Ave
Enumeration Date
10 June 2006
Last Update Date
16 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897864877
Graduation Year
1997 (29 years ago)
PAC ID
4688646953
Group Practice PAC ID
8325942535
Professional Enrollment ID
I20040807000122
Address ID
MI497568134LE3040XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MR. BRIAN DAVID MACAULEY (PA-C)

  • 1250 E Michigan Ave

    Grayling, MI 497387074

    Phone: (989) 348-0550

    Fax: (989) 348-0473

    Type: Location

  • 1200 W North Down River Rd Ste C

    Grayling, MI 497388024

    Phone: (989) 344-5910

    Fax: (231) 935-3463

    Type: Location

  • 3040 Bourn St

    Lewiston, MI 497568134

    Phone: (989) 786-2187

    Fax: (989) 786-2187

    Type: Location

  • 1321 S Mount Tom Rd

    Mio, MI 486479518

    Phone: (989) 344-5820

    Fax: (231) 392-7338

    Type: Location

  • 2585 W Houghton Lake Dr

    Prudenville, MI 486519624

    Phone: (989) 366-2900

    Fax: (989) 366-1166

    Type: Location

  • 234 Lake St

    Roscommon, MI 486539203

    Phone: (989) 275-1200

    Fax: (989) 275-1210

    Type: Location

  • 3860 S Straits Hwy

    Indian River, MI 497495146

    Phone: (231) 238-0581

    Fax: (231) 238-0856

    Type: Location

  • 1100 E Michigan Ave

    Grayling, MI 497381312

    Phone: (989) 348-0550

    Type: Location

  • 829 N Center Ave Ste 210

    Gaylord, MI 497351599

    Phone: (989) 731-2105

    Type: Location

  • 1619 Anderson Rd

    Petoskey, MI 497709256

    Phone: (231) 417-6050

    Fax: (231) 213-8749

    Type: Location

  • 611, Court Street, West Branch, Ogemaw Township, Ogemaw County, Michigan, 48661, United States

    WEST BRANCH, MI 486619390

    Phone: (989) 345-7000

    Fax: (989) 345-7479

    Type: Mailing

  • 1105 SIXTH ST

    TRAVERSE CITY, MI 496842345

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Novo Nordisk Inc ($37).

Total Amount

$134

General + Research + Ownership

Payments

8

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-08-07

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
I20040807000122IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49738)

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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: 8325942535View full group profile
NameSpecialtyState
Family PracticeMI
-MI
Internal MedicineMI
Nurse PractitionerMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Emergency MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I verify MR. BRIAN DAVID MACAULEY (PA-C) with an NPI only?
You can start verification with NPI 1295776953 for MR. BRIAN DAVID MACAULEY (PA-C), then check state licensing separately.
Does CMS list MR. BRIAN DAVID MACAULEY (PA-C) as active?
Yes — MR. BRIAN DAVID MACAULEY (PA-C) is active in the NPI listing used on this page.
What is MR. BRIAN DAVID MACAULEY (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MR. BRIAN DAVID MACAULEY (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is MR. BRIAN DAVID MACAULEY (PA-C) based?
MR. BRIAN DAVID MACAULEY (PA-C) is tied to Grayling, Michigan in the data we show; additional addresses may exist on the full record.
Why does MR. BRIAN DAVID MACAULEY (PA-C) have multiple addresses?
13 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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