STEPHEN D PERETIN (DO) – Anesthesiology Physician, NPI 1689930679

STEPHEN D PERETIN (DO) is a healthcare provider. based in Wyandotte, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 02004904A (IN). The NPI Number for STEPHEN D PERETIN (DO) is 1689930679

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN D PERETIN (DO)
NPI
1689930679
Phone
(734) 246-3781
Address
2333 BIDDLE AVE
Enumeration Date
4 April 2012
Last Update Date
3 December 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8884843258
Graduation Year
2012 (14 years ago)
PAC ID
8426280306
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20160818000849
Address ID
IN462021239IN1701XBLVD400

Contacts

Secure Messaging
speretin@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

1,716 ANESTHESIOLOGY in MI

Provider Addresses for STEPHEN D PERETIN (DO)

  • 2333 BIDDLE AVE

    HENRY FORD WYANDOTTE HOSPITAL

    WYANDOTTE, MI 48192

    Phone: (734) 246-3781

    Type: Location

  • 1701 N Senate Blvd

    Indianapolis, IN 462021239

    Phone: (317) 274-0275

    Fax: (317) 274-0256

    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: 2016-08-18

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
I20160818000849IAnesthesiologyINTBD

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
62322Injection of substance into lower spine canal3333$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2424$0
01402Anesthesia for procedure for total knee joint replacement2323$0
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
76942Ultrasonic guidance for needle placement1717$0
View full utilization report →

Insurance plans in this area (ZIP 48192)

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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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

How is STEPHEN D PERETIN (DO) identified in CMS data?
CMS-hosted NPPES data lists STEPHEN D PERETIN (DO) with NPI 1689930679.
Can I rely on STEPHEN D PERETIN (DO) being an active provider?
As of the registry snapshot, STEPHEN D PERETIN (DO) is marked active.
What is STEPHEN D PERETIN (DO)'s specialty?
The listing groups STEPHEN D PERETIN (DO) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What area does STEPHEN D PERETIN (DO) serve?
STEPHEN D PERETIN (DO)'s listing highlights Wyandotte, Michigan; more addresses can appear in NPPES.
Is the information about STEPHEN D PERETIN (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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