ANDREW STANDLEY – Physician Assistant, NPI 1407824030

ANDREW STANDLEY is a healthcare provider. based in Royal oak, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601003495 (MI). The NPI Number for ANDREW STANDLEY is 1407824030

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW STANDLEY
NPI
1407824030
Phone
(248) 898-1994
Address
3601 W 13 Mile Rd
Enumeration Date
9 March 2006
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488985058
Graduation Year
2000 (26 years ago)
PAC ID
6002882644
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20040907000153
Address ID
MI480736712RO3601XECXX601

Contacts

Secure Messaging
astandley6586356@direct.beaumont.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for ANDREW STANDLEY

  • 3601 W 13 Mile Rd

    Royal Oak, MI 480736712

    Phone: (248) 898-1994

    Type: Location

  • 44201 Dequindre Rd

    Troy, MI 480851117

    Phone: (248) 964-8432

    Type: Location

  • Grand Blanc Mitsubishi, Ali Drive, Genesee County, Michigan, 48439, United States

    GRAND BLANC, MI 484395191

    Phone: (810) 695-9996

    Type: Mailing

  • 3452 GENESYS PKWY

    GRAND BLANC, MI 484397334

    Phone: (810) 606-7550

    Fax: (810) 606-6235

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $972.

Total Amount is formed as General ($972) + Research ($0) + Ownership ($0) = $972.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($347).

Total Amount

$972

General + Research + Ownership

Payments

28

Total payment records

General Amount

$972

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2004-09-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040907000153IPhysician AssistantMITBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48073)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What federal number belongs to ANDREW STANDLEY?
The federal identifier for ANDREW STANDLEY is NPI 1407824030.
Does this profile mean ANDREW STANDLEY is currently active?
Yes — ANDREW STANDLEY appears active in the national provider directory.
Does ANDREW STANDLEY list a primary specialty?
If you are matching referrals, note Physician Assistant for ANDREW STANDLEY. Clinical services aligned with this taxonomy classification.
Where is ANDREW STANDLEY's primary listing?
We display Royal Oak, Michigan because that is what the record indicates for ANDREW STANDLEY.
What if Royal Oak, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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