ANDREW THOMAS BERWICK – Sports Medicine (Emergency Medicine) Physician, NPI 1457794836

ANDREW THOMAS BERWICK is a healthcare provider. based in Detroit, Michigan. specializing in SPORTS MEDICINE, EMERGENCY MEDICINE. They hold a License No. 4301103580 (MI). The NPI Number for ANDREW THOMAS BERWICK is 1457794836

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW THOMAS BERWICK
NPI
1457794836
Phone
(313) 966-1020
Address
6071 W OUTER DR
Enumeration Date
16 April 2013
Last Update Date
19 January 2018

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3139663300
Graduation Year
2013 (13 years ago)
PAC ID
4587965025
Group Practice PAC ID
0648182071
Professional Enrollment ID
I20160627000343
Address ID
MI482352624DE6071XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

244 SPORTS MEDICINE in MI

Provider Addresses for ANDREW THOMAS BERWICK

  • 6071 W OUTER DR

    DETROIT, MI 482352624

    Phone: (313) 966-1020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-27

PECOS data refreshed: 2026-06-15

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
I20160627000343IEmergency 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 making7775$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6463$0
99284Emergency department visit with moderate level of medical decision making4848$0
99291Critical care, first 30-74 minutes3434$0
99283Emergency department visit with low level of medical decision making1211$0
View full utilization report →

Insurance plans in this area (ZIP 48235)

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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: 0648182071View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicinePA
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Is there an official ID for ANDREW THOMAS BERWICK in U.S. healthcare records?
The official identifier for ANDREW THOMAS BERWICK is NPI 1457794836.
Would ANDREW THOMAS BERWICK appear as active to a payer?
You can treat ANDREW THOMAS BERWICK as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ANDREW THOMAS BERWICK?
At a glance, ANDREW THOMAS BERWICK is tied to Sports Medicine (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREW THOMAS BERWICK?
Travel planning: use Detroit, Michigan as the reference point for ANDREW THOMAS BERWICK, then confirm.
Can I trust this NPI listing for ANDREW THOMAS BERWICK?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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