THEODORE BEATTY (PA-C) – Physician Assistant, NPI 1306259262

THEODORE BEATTY (PA-C) is a healthcare provider. based in Ferndale, Michigan. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601006977 (MI). The NPI Number for THEODORE BEATTY (PA-C) is 1306259262

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE BEATTY (PA-C)
NPI
1306259262
Phone
(810) 614-9841
Address
266 VESTER ST
Enumeration Date
9 June 2014
Last Update Date
9 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
6406172675
Group Practice PAC ID
7911808381
Professional Enrollment ID
I20150305001336
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for THEODORE BEATTY (PA-C)

  • 266 VESTER ST

    FERNDALE, MI 482201714

    Phone: (810) 614-9841

    Type: Mailing

  • 15855 19 MILE RD

    CLINTON TOWNSHIP, MI 480383504

    Phone: (586) 263-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $701.

Total Amount is formed as General ($701) + Research ($0) + Ownership ($0) = $701.

Last reported payment date: 2024-12-29 • Largest payer in this snapshot: Inari Medical, Inc. ($522).

Total Amount

$701

General + Research + Ownership

Payments

32

Total payment records

General Amount

$701

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-29

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes3736$0
99292Critical care, each additional 30 minutes2616$0
36620Insertion of artery tube for blood sampling or infusion through skin1111$0
View full utilization report →

Insurance plans in this area (ZIP 48220)

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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: 7911808381View full group profile
NameSpecialtyState
Family PracticeMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Pediatric Medicine, Allergy/ImmunologyMI
Certified Registered Nurse Anesthetist (Crna)MI
Physician AssistantMI
Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Where can patients find THEODORE BEATTY (PA-C)'s NPI?
You can confirm THEODORE BEATTY (PA-C) with NPI 1306259262; it appears in the national provider directory.
Does this profile mean THEODORE BEATTY (PA-C) is currently active?
Yes — THEODORE BEATTY (PA-C) appears active in the national provider directory.
What field does THEODORE BEATTY (PA-C) work in?
You can think of THEODORE BEATTY (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is THEODORE BEATTY (PA-C)'s primary listing?
We display Ferndale, Michigan because that is what the record indicates for THEODORE BEATTY (PA-C).
How can I contact THEODORE BEATTY (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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