DR. LANCE R. CHALDECOTT (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1669443552
Orthopaedic Surgery of the Spine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,082 ORTHOPEDIC SURGERY in MI
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Provider Addresses for DR. LANCE R. CHALDECOTT (M.D.)
Fort Street, Trenton, Wayne County, Michigan, 48173, United States
SUITE D ATTN DENISE
TRENTON, MI 481832040
Phone: (734) 391-3057
Fax: (734) 391-3052
Type: Mailing
Henry Ford Medical Center - Templin, 2070, Biddle Avenue, Wyandotte, Wayne County, Michigan, 48192, United States
SUITE 200
WYANDOTTE, MI 481924080
Phone: (734) 225-9100
Fax: (734) 225-9100
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: 2009-02-09
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 |
|---|---|---|---|---|
| I20090209000419 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 152 | 94 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 152 | 106 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 47 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 40 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 29 | 19 | $0 |
Insurance plans in this area (ZIP 48183)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | MI | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 17 | 17 |
| ORTHOPEDIC SURGERY | MI | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 37 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Gastroenterology, Internal Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI |
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