DR. JEFFREY L WILLIAMS (MD) – Plastic Surgery Physician, NPI 1710993217

DR. JEFFREY L WILLIAMS (MD) is a healthcare provider. based in St clair shores, Michigan. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 4301059797 (MI). The NPI Number for DR. JEFFREY L WILLIAMS (MD) is 1710993217

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY L WILLIAMS (MD)
NPI
1710993217
Phone
(586) 779-3030
Address
21000 12 MILE RD
Enumeration Date
1 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5867793030
Graduation Year
1992 (34 years ago)
PAC ID
9638278492
Group Practice PAC ID
3476578840
Professional Enrollment ID
I20101005000091
Address ID
MI480831262TR85XXXRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

247 PLASTIC AND RECONSTRUCTIVE SURGERY in MI

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Provider Addresses for DR. JEFFREY L WILLIAMS (MD)

  • Saint John Medical Center, Saint Clair Shores, 21000, East 12 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48081, United States

    STE 105

    ST CLAIR SHORES, MI 48081

    Phone: (586) 779-3030

    Fax: (586) 779-6733

    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 27 Open Payments records for all available years, with a total value of $1,028.

Total Amount is formed as General ($1,028) + Research ($0) + Ownership ($0) = $1,028.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Mentor Worldwide LLC ($570).

Total Amount

$1,028

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,028

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-10-05

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
I20101005000091IPlastic And Reconstructive SurgeryMITBD

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 minutes5645$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
19371Removal of capsule around breast implant1111$0
View full utilization report →

Insurance plans in this area (ZIP 48081)

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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: 3476578840View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryMI

Reviews

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Frequently asked questions

What federal number belongs to DR. JEFFREY L WILLIAMS (MD)?
The federal identifier for DR. JEFFREY L WILLIAMS (MD) is NPI 1710993217.
Is DR. JEFFREY L WILLIAMS (MD)'s NPI currently valid?
The extract we use shows DR. JEFFREY L WILLIAMS (MD) as active.
Can you summarize DR. JEFFREY L WILLIAMS (MD)'s specialty in plain language?
Clinically, the directory lists DR. JEFFREY L WILLIAMS (MD) with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JEFFREY L WILLIAMS (MD)?
We surface St Clair Shores, Michigan for DR. JEFFREY L WILLIAMS (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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