ROGER BEAUDOING (DO) – Family Medicine Physician, NPI 1639154768

ROGER BEAUDOING (DO) is a healthcare provider. based in Beaverton, Michigan. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101011345 (MI). The NPI Number for ROGER BEAUDOING (DO) is 1639154768

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
ROGER BEAUDOING (DO)
NPI
1639154768
Phone
(989) 435-4669
Address
5392 MANGUS
Enumeration Date
13 December 2005
Last Update Date
9 February 2011

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9898025120
Graduation Year
1991 (35 years ago)
PAC ID
9133131550
Group Practice PAC ID
7012829773
Professional Enrollment ID
I20060628000238
Address ID
MI486171440CL703XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for ROGER BEAUDOING (DO)

  • 5392 MANGUS

    BEAVERTON, MI 48612

    Phone: (989) 435-4669

    Type: Mailing

  • MidMichigan Medical Center - Clare, 703, North McEwan Street, Clare, Clare County, Michigan, 48617, United States

    CLARE, MI 486171440

    Phone: (989) 386-5120

    Fax: (989) 802-8880

    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: 2006-06-28

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
I20060628000238IFamily PracticeMITBD

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
99284Emergency department visit with moderate level of medical decision making5451$0
99283Emergency department visit with low level of medical decision making2828$0
99285Emergency department visit with high level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 48612)

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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: 7012829773View full group profile
NameSpecialtyState
General Practice, Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
-MI
Emergency MedicineMI
Physician AssistantMI
Family PracticeMI
Emergency MedicineMI
-MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I verify ROGER BEAUDOING (DO) with an NPI only?
You can start verification with NPI 1639154768 for ROGER BEAUDOING (DO), then check state licensing separately.
Can I rely on ROGER BEAUDOING (DO) being an active provider?
As of the registry snapshot, ROGER BEAUDOING (DO) is marked active.
What is ROGER BEAUDOING (DO) best known for clinically?
Directory data describes ROGER BEAUDOING (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ROGER BEAUDOING (DO)?
ROGER BEAUDOING (DO)'s geographic hint is Beaverton, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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