DR. MICHAEL ERIC DEGRYSE (D.O.) – Emergency Medicine Physician, NPI 1386030930

DR. MICHAEL ERIC DEGRYSE (D.O.) is a healthcare provider. based in Willis, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 5101024461 (MI). The NPI Number for DR. MICHAEL ERIC DEGRYSE (D.O.) is 1386030930

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL ERIC DEGRYSE (D.O.)
NPI
1386030930
Phone
(734) 732-0056
Address
9730 BUNTON RD
Enumeration Date
10 April 2015
Last Update Date
3 June 2019

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
5172795400
Graduation Year
2015 (11 years ago)
PAC ID
5890005839
Group Practice PAC ID
0941536114
Professional Enrollment ID
I20190614000421
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for DR. MICHAEL ERIC DEGRYSE (D.O.)

  • 9730 BUNTON RD

    WILLIS, MI 481919625

    Phone: (734) 732-0056

    Type: Mailing

  • 36475 FIVE MILE RD

    LIVONIA, MI 481541971

    Phone: (734) 655-4800

    Fax: (734) 655-8430

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($100).

Total Amount

$100

General + Research + Ownership

Payments

3

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

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: 2019-06-14

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
I20190614000421IEmergency MedicineMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making186177$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only136130$0
99284Emergency department visit with moderate level of medical decision making9185$0
99291Critical care, first 30-74 minutes2019$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 48191)

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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: 0941536114View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. MICHAEL ERIC DEGRYSE (D.O.)?
The registry entry for DR. MICHAEL ERIC DEGRYSE (D.O.) shows NPI 1386030930.
Does the public listing show DR. MICHAEL ERIC DEGRYSE (D.O.) as active?
DR. MICHAEL ERIC DEGRYSE (D.O.)'s NPI record reflects an active status in NPPES.
What services align with DR. MICHAEL ERIC DEGRYSE (D.O.)'s listing?
DR. MICHAEL ERIC DEGRYSE (D.O.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MICHAEL ERIC DEGRYSE (D.O.)?
The directory associates DR. MICHAEL ERIC DEGRYSE (D.O.) with Willis, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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