PETER SCUCCIMARRI (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1568422111
Addiction Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PETER SCUCCIMARRI (M.D.)
3901 Chrysler Dr Ste 1A
Detroit, MI 482012167
Phone: (313) 993-3964
Fax: (313) 993-3974
Type: Location
1655 HOLLAND RD STE F
MAUMEE, OH 435371656
Phone: (833) 510-4357
Type: Location
615 ELSINORE PL STE 200
CINCINNATI, OH 452021457
Phone: (513) 834-7063
Type: Mailing
Chrysler Drive, Eastern Market, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482012167
Phone: (313) 993-3964
Fax: (313) 993-3974
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-02-14 • Largest payer in this snapshot: Indivior Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $20 |
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: 2006-11-29
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 |
|---|---|---|---|---|
| I20061129000038 | I | Addiction Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MI | |
| Family Practice | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Internal Medicine, Pediatric Medicine | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI |
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