DR. GREGG POLIDORI (MD) – Gastroenterology Physician, NPI 1689665465
Gastroenterology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
648 GASTROENTEROLOGY in MI
Provider Addresses for DR. GREGG POLIDORI (MD)
3535 W 13 Mile Rd Ste Ll
Royal Oak, MI 480736770
Phone: (248) 551-3000
Fax: (248) 551-2032
Type: Location
West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48025, United States
STE 202
ROYAL OAK, MI 480736770
Phone: (248) 551-0900
Fax: (248) 551-0905
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 170 Open Payments records for all available years, with a total value of $3,083.
Total Amount is formed as General ($3,083) + Research ($0) + Ownership ($0) = $3,083.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($632).
Total Amount
$3,083
General + Research + Ownership
Payments
170
Total payment records
General Amount
$3,083
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $632 |
| Celgene Corporation | $472 |
| Takeda Pharmaceuticals U.S.A., Inc. | $417 |
| Fresenius Kabi USA, LLC | $285 |
| Regeneron Healthcare Solutions, Inc. | $229 |
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: 2005-01-13
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 |
|---|---|---|---|---|
| I20050113000529 | I | Gastroenterology | 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 | 168 | 150 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 78 | 76 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 67 | 67 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 66 | 66 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 61 | 59 | $0 |
Insurance plans in this area (ZIP 48073)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MI | 45385 | Removal of polyps or growths of large bowel using an endoscope | 44 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| P S Y C H I A T R Y | MI | |
| - | MI | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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