JEFFREY LOUIS PROVIZER (DO) – Family Medicine Physician, NPI 1316931405
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 JEFFREY LOUIS PROVIZER (DO)
Northwestern Highway, Farmington Hills, Oakland County, Michigan, 48334, United States
FARMINGTON HILLS, MI 483343292
Phone: (248) 851-1430
Fax: (248) 851-5182
Type: Mailing
620 N Pontiac Trl
Walled Lake, MI 483903443
Phone: (248) 624-4511
Fax: (248) 624-4408
Type: Location
4123 Martin Rd Ste 102
Commerce Twp, MI 483904151
Phone: (248) 366-3700
Fax: (248) 360-1760
Type: Location
32255 NORTHWESTERN HWY STE 130
FARMINGTON HILLS, MI 48334
Phone: (248) 723-5880
Fax: (248) 723-5889
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,238.
Total Amount is formed as General ($1,238) + Research ($0) + Ownership ($0) = $1,238.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($395).
Total Amount
$1,238
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $395 |
| Lilly USA, LLC | $284 |
| Medtronic, Inc. | $120 |
| Dexcom, Inc. | $87 |
| Novartis Pharmaceuticals Corporation | $48 |
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: 2010-08-17
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 |
|---|---|---|---|---|
| I20100817001105 | 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 | 552 | 263 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 87 | 86 | $0 |
| 99497 | Advance care planning, first 30 minutes | 67 | 67 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 65 | 12 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 63 | 63 | $0 |
Insurance plans in this area (ZIP 48334)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Otolaryngology, Plastic And Reconstructive Surgery | MI | |
| Medical Oncology, Internal Medicine | MI | |
| - | MI | |
| - | AE | |
| Pediatric Medicine | MI |
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