AMANDA LYNN PORTER (MD) – Internal Medicine Physician, NPI 1639638729
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,213 PSYCHIATRY in MI
Provider Addresses for AMANDA LYNN PORTER (MD)
4100 PARK FOREST DR STE 200
TRAVERSE CITY, MI 496847306
Phone: (231) 600-7466
Fax: (877) 370-4631
Type: Mailing
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Mailing
419 S Coral St
Kalkaska, MI 496462503
Phone: (231) 258-7777
Type: Location
2095 Henry Tecklenburg Dr
Charleston, SC 294145733
Phone: (843) 402-5035
Fax: (843) 402-5036
Type: Location
11215 Metro Pkwy Ste 1
Fort Myers, FL 339661206
Phone: (239) 208-2212
Type: Location
419 S CORAL ST
KALKASKA, MI 496462503
Phone: (231) 258-7777
Fax: (231) 258-7786
Type: Mailing
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 $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($39).
Total Amount
$181
General + Research + Ownership
Payments
9
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ipsen Biopharmaceuticals, Inc | $39 |
| Lilly USA, LLC | $33 |
| GE HEALTHCARE | $33 |
| Biogen, Inc. | $21 |
| Eisai 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: 2025-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230624000005 | I | Neuropsychiatry | FL | TBD |
| I20240718003387 | I | Neurology | MI | TBD |
| I20251205000509 | I | Neurology | SC | 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 49684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI |
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