MR. BRIAN DAVID MACAULEY (PA-C) – Physician Assistant, NPI 1295776953
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. 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
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $37 |
| Corium, LLC | $21 |
| GlaxoSmithKline, LLC. | $17 |
| Bayer Healthcare Pharmaceuticals Inc. | $16 |
| ABBVIE INC. | $15 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040807000122 | 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 49738)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Emergency Medicine | MI | |
| Physician Assistant | MI |
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