PAULINE SONG SEYMOUR (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1437447612

PAULINE SONG SEYMOUR (D.P.M.) is a healthcare provider. based in Detroit, Michigan. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 073779 (IA). The NPI Number for PAULINE SONG SEYMOUR (D.P.M.) is 1437447612

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
PAULINE SONG SEYMOUR (D.P.M.)
NPI
1437447612
Phone
(313) 343-6393
Address
22101 MOROSS RD
Enumeration Date
21 July 2011
Last Update Date
23 August 2024

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2485282116
Graduation Year
2011 (15 years ago)
PAC ID
5193942936
Group Practice PAC ID
9931495645
Professional Enrollment ID
I20220705001136
Address ID
NE685082000LI233XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for PAULINE SONG SEYMOUR (D.P.M.)

  • 22101 MOROSS RD

    SUITE 335

    DETROIT, MI 482362148

    Phone: (313) 343-6393

    Fax: (313) 343-6394

    Type: Mailing

  • 1707 OAK PARK RD

    COUNCIL BLUFFS, IA 515031361

    Phone: (402) 658-9681

    Type: Mailing

  • 2705 SAMSON WAY

    BELLEVUE, NE 681234307

    Phone: (402) 991-8999

    Fax: (402) 331-6537

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $344.

Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.

Last reported payment date: 2023-09-05 • Largest payer in this snapshot: Stryker Corporation ($164).

Total Amount

$344

General + Research + Ownership

Payments

6

Total payment records

General Amount

$344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-05

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: 2022-07-05

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
I20220705001136IPodiatryNETBD

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
11721Removal of fingernails or toenails, 6 or more nails5032$0
99212Established patient office or other outpatient visit, 10-19 minutes2819$0
73630X-ray of foot, minimum of 3 views1711$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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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: 9931495645View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YCA

Reviews

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Frequently asked questions

Is there an official ID for PAULINE SONG SEYMOUR (D.P.M.) in U.S. healthcare records?
The official identifier for PAULINE SONG SEYMOUR (D.P.M.) is NPI 1437447612.
Is there an active status for PAULINE SONG SEYMOUR (D.P.M.)?
For scheduling context, PAULINE SONG SEYMOUR (D.P.M.) is shown as active in the registry.
What clinical focus is listed for PAULINE SONG SEYMOUR (D.P.M.)?
At a glance, PAULINE SONG SEYMOUR (D.P.M.) is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Michigan is PAULINE SONG SEYMOUR (D.P.M.) registered?
Use Detroit, Michigan as the headline location for PAULINE SONG SEYMOUR (D.P.M.) here.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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