ALICIA ELMORE (D.O.) – Family Medicine Physician, NPI 1700887841

ALICIA ELMORE (D.O.) is a healthcare provider. based in Cadillac, Michigan. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. AE015895 (MI). The NPI Number for ALICIA ELMORE (D.O.) is 1700887841

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA ELMORE (D.O.)
NPI
1700887841
Phone
(231) 775-9741
Address
827 E DIVISION ST
Enumeration Date
10 August 2005
Last Update Date
1 December 2016

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2317759741
Graduation Year
1998 (28 years ago)
PAC ID
7416923701
Group Practice PAC ID
8123094414
Professional Enrollment ID
I20040908000893
Address ID
MI496012015CA827XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

158 OSTEOPATHIC MANIPULATIVE MEDICINE in MI

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Provider Addresses for ALICIA ELMORE (D.O.)

  • Family Practice of Cadillac, 827, East Division Street, Cadillac, Haring Township, Wexford County, Michigan, 49601, United States

    CADILLAC, MI 496012015

    Phone: (231) 775-9741

    Fax: (231) 775-9333

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $2,043.

Total Amount is formed as General ($2,043) + Research ($0) + Ownership ($0) = $2,043.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($529).

Total Amount

$2,043

General + Research + Ownership

Payments

135

Total payment records

General Amount

$2,043

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-09-08

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
I20040908000893IFamily 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
99213Established patient office or other outpatient visit, 20-29 minutes240145$0
99214Established patient office or other outpatient visit, 30-39 minutes195105$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg17229$0
J0696Injection, ceftriaxone sodium, per 250 mg12417$0
99215Established patient office or other outpatient visit, 40-54 minutes108107$0
View full utilization report →

Insurance plans in this area (ZIP 49601)

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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: 8123094414View full group profile
NameSpecialtyState
Family PracticeMI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

How is ALICIA ELMORE (D.O.) identified in CMS data?
CMS-hosted NPPES data lists ALICIA ELMORE (D.O.) with NPI 1700887841.
Can I rely on ALICIA ELMORE (D.O.) being an active provider?
As of the registry snapshot, ALICIA ELMORE (D.O.) is marked active.
What taxonomy line describes ALICIA ELMORE (D.O.)?
For research purposes, treat ALICIA ELMORE (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ALICIA ELMORE (D.O.)?
ALICIA ELMORE (D.O.)'s geographic hint is Cadillac, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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