EZIO NOVELLI (DDS, MD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1558622712
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
76 MAXILLOFACIAL SURGERY in MI
Provider Addresses for EZIO NOVELLI (DDS, MD)
4201 OKEMOS RD
OKEMOS, MI 488643200
Phone:
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)
CMS reports 9 Open Payments records for all available years, with a total value of $1,921.
Total Amount is formed as General ($1,921) + Research ($0) + Ownership ($0) = $1,921.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: KLS-Martin L.P. ($1,592).
Total Amount
$1,921
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KLS-Martin L.P. | $1,592 |
| Straumann USA LLC | $282 |
| Medical Device Business Services, Inc. | $34 |
| DePuy Synthes Sales Inc. | $14 |
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: 2018-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180628002127 | I | Maxillofacial Surgery | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 48864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Dentist, Maxillofacial Surgery, Oral Surgery, General Surgery | MI | |
| Oral Surgery | MI | |
| Maxillofacial Surgery | MI | |
| Maxillofacial Surgery | MI | |
| Maxillofacial Surgery, Oral Surgery | MI |
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