DR. DOUGLAS MICHAEL II PIERNICK (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1487053575

DR. DOUGLAS MICHAEL II PIERNICK (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301105765 (MI). The NPI Number for DR. DOUGLAS MICHAEL II PIERNICK (M.D.) is 1487053575

Main info

Male
Sole Proprietor
Accepts Medicare Assignment
Name
DR. DOUGLAS MICHAEL II PIERNICK (M.D.)
NPI
1487053575
Phone
(313) 343-3875
Address
22101 MOROSS RD
Enumeration Date
14 August 2014
Last Update Date
11 May 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3138843380
Graduation Year
null (2026 years ago)
PAC ID
3072816255
Group Practice PAC ID
4880666429
Professional Enrollment ID
I20200512002360
Address ID
MI483532726HA11525RDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:11State licenses:2Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for DR. DOUGLAS MICHAEL II PIERNICK (M.D.)

  • 22101 MOROSS RD

    DETROIT, MI 482362148

    Phone: (313) 343-3875

    Fax: (313) 343-7840

    Type: Mailing

  • 22101 Moross Rd

    Detroit, MI 482362148

    Phone: (313) 343-3875

    Fax: (313) 343-7840

    Type: Location

  • 20030 MACK AVE

    GROSSE POINTE WOODS, MI 482362323

    Phone: (313) 884-3380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 123 Open Payments records for all available years, with a total value of $2,500.

Total Amount is formed as General ($2,500) + Research ($0) + Ownership ($0) = $2,500.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($634).

Total Amount

$2,500

General + Research + Ownership

Payments

123

Total payment records

General Amount

$2,500

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

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: 2020-05-12

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
I20200512002360IDermatologyMITBD

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
17003Destruction of precancer skin growth, 2-14 growths1,678255$0
99213Established patient office or other outpatient visit, 20-29 minutes744520$0
17000Destruction of precancer skin growth, 1 growth510347$0
17110Destruction of skin growth, 1-14 growths393289$0
11102Biopsy of related skin growth, first growth186167$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: 4880666429View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal MedicineMI
Physician AssistantMI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

How is DR. DOUGLAS MICHAEL II PIERNICK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. DOUGLAS MICHAEL II PIERNICK (M.D.) with NPI 1487053575.
Is DR. DOUGLAS MICHAEL II PIERNICK (M.D.) listed as active for patients and plans?
The listing shows DR. DOUGLAS MICHAEL II PIERNICK (M.D.) as active in the NPI system.
What is DR. DOUGLAS MICHAEL II PIERNICK (M.D.) best known for clinically?
Directory data describes DR. DOUGLAS MICHAEL II PIERNICK (M.D.) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Where is DR. DOUGLAS MICHAEL II PIERNICK (M.D.) based?
DR. DOUGLAS MICHAEL II PIERNICK (M.D.) is tied to Detroit, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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