DR. AMANDA LYNN MINICH (D.O.) – Family Medicine Physician, NPI 1467681387
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for DR. AMANDA LYNN MINICH (D.O.)
6450, Maple Street, Frischkorn's Columbus Park, Dearborn, Wayne County, Michigan, 48126, United States
DEARBORN, MI 481262259
Phone: (313) 842-7010
Fax: (313) 842-5150
Type: Location
4939, North Crooks Road, Royal Oak, Oakland County, Michigan, 48073, United States
ROYAL OAK, MI 480731202
Phone: (517) 449-2105
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $3,596.
Total Amount is formed as General ($3,596) + Research ($0) + Ownership ($0) = $3,596.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($1,885).
Total Amount
$3,596
General + Research + Ownership
Payments
130
Total payment records
General Amount
$3,596
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $1,885 |
| ViiV Healthcare Company | $1,285 |
| Merck Sharp & Dohme LLC | $106 |
| ABBVIE INC. | $63 |
| Braeburn Inc. | $63 |
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: 2012-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120817000303 | I | Family Practice | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 105 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 33 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 37 | 15 | $0 |
Insurance plans in this area (ZIP 48126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| Physician Assistant | MI | |
| Infectious Disease, Internal Medicine | MI | |
| Physician Assistant | MI |
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