JERRY MICHAEL GREIB (DO) – Emergency Medicine Physician, NPI 1396788774

JERRY MICHAEL GREIB (DO) is a healthcare provider. based in Clinton twp, Michigan. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 5101014273 (MI). The NPI Number for JERRY MICHAEL GREIB (DO) is 1396788774

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JERRY MICHAEL GREIB (DO)
NPI
1396788774
Phone
(586) 493-8000
Address
15855 NINETEEN MILE ROAD
Enumeration Date
14 June 2006
Last Update Date
12 April 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5862632601
Graduation Year
1999 (27 years ago)
PAC ID
7911995394
Group Practice PAC ID
3870493588
Professional Enrollment ID
I20040504001065
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JERRY MICHAEL GREIB (DO)

  • 15855 NINETEEN MILE ROAD

    EMERGENCY MEDICINE DEPARTMENT

    CLINTON TWP, MI 480383504

    Phone: (586) 493-8000

    Type: Location

  • Ann Arbor Road, Livonia, Wayne County, Michigan, 48185:48187, United States

    CREDENTIALING/PAYER CONTRACTING SERVICES

    LIVONIA, MI 481503397

    Phone: (734) 632-0175

    Fax: (734) 632-0182

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: ABBVIE INC. ($199).

Total Amount

$199

General + Research + Ownership

Payments

9

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$199
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: 2004-05-04

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
I20040504001065IEmergency 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.

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

Insurance plans in this area (ZIP 48038)

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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: 3870493588View full group profile
NameSpecialtyState
Emergency MedicineMI
-PA
Physician AssistantMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
-PA

Reviews

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Frequently asked questions

How do I look up JERRY MICHAEL GREIB (DO) by NPI?
Use NPI 1396788774 when you need to reference JERRY MICHAEL GREIB (DO) in forms, claims, or directories.
Is JERRY MICHAEL GREIB (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JERRY MICHAEL GREIB (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for JERRY MICHAEL GREIB (DO). Clinical services aligned with this taxonomy classification.
Where is JERRY MICHAEL GREIB (DO)'s primary listing?
We display Clinton Twp, Michigan because that is what the record indicates for JERRY MICHAEL GREIB (DO).
How can I contact JERRY MICHAEL GREIB (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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