MICHAEL WAYNE (DO) – Family Medicine Physician, NPI 1629177035
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MICHAEL WAYNE (DO)
27275 HAGGERTY RD STE 500
NOVI, MI 483773635
Phone: (248) 741-6907
Fax: (248) 721-8203
Type: Mailing
4275, Barn Meadow Lane, Long Lake Estates, Orchard Lake Village, West Bloomfield Township, Oakland County, Michigan, 48323, United States
WEST BLOOMFIELD, MI 483231811
Phone:
Type: Mailing
7 Mile Road, Northville, Wayne County, Michigan, 18167, United States
NORTHVILLE, MI 481672277
Phone: (248) 348-2442
Fax: (248) 348-4914
Type: Location
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: 2010-06-04
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 |
|---|---|---|---|---|
| I20100604000014 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48377)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 17003 | Destruction of 2-14 skin growths | 53 | 13 |
| FAMILY MEDICINE | MI | 83036 | Hemoglobin A1C level | 314 | 198 |
| FAMILY MEDICINE | MI | 85610 | Blood test, clotting time | 87 | 12 |
| FAMILY MEDICINE | MI | 90670 | Pneumococcal vaccine for injection into muscle | 59 | 59 |
| FAMILY MEDICINE | MI | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 21 | 21 |
Group practice members
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