THOMAS R HARTZELL (MD) – Obstetrics & Gynecology Physician, NPI 1619966256
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,735 OBSTETRICS/GYNECOLOGY in MI
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Provider Addresses for THOMAS R HARTZELL (MD)
Saint John Medical Center, Saint Clair Shores, 21000, East 12 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48081, United States
STE 102
SAINT CLAIR SHORES, MI 480811156
Phone: (800) 848-0202
Fax: (586) 226-6949
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: 2010-02-26
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 |
|---|---|---|---|---|
| I20100226000514 | I | Obstetrics/Gynecology | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 74 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 68 | 37 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 59 | 59 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 41 | 41 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 16 | 12 | $0 |
Insurance plans in this area (ZIP 48081)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | MI | 81002 | Urinalysis, manual test | 14 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dentist, General Practice, Maxillofacial Surgery, General Practice | MI | |
| - | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Family Practice | MI | |
| N E U R O L O G Y | MI | |
| Colorectal Surgery (Proctology) | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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