DR. DOUGLAS GORDON PAULK (D.O.) – Surgery Physician, NPI 1750372405

DR. DOUGLAS GORDON PAULK (D.O.) is a healthcare provider. based in Macomb township, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101007995 (MI). The NPI Number for DR. DOUGLAS GORDON PAULK (D.O.) is 1750372405

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS GORDON PAULK (D.O.)
NPI
1750372405
Phone
(586) 228-0550
Address
17375 HALL RD
Enumeration Date
2 November 2005
Last Update Date
15 January 2015

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
9896733141
Graduation Year
1980 (46 years ago)
PAC ID
0547258071
Group Practice PAC ID
9234048166
Professional Enrollment ID
I20040511001245
Address ID
MI487231476CA401XXSTXX400
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

1,444 GENERAL SURGERY in MI

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Provider Addresses for DR. DOUGLAS GORDON PAULK (D.O.)

  • 17375, Hall Road, Macomb Township, Macomb County, Michigan, 48044, United States

    MACOMB TOWNSHIP, MI 480444060

    Phone: (586) 228-0550

    Fax: (586) 228-8125

    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 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($33).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

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: 2004-05-11

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
I20040511001245IGeneral 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 minutes1714$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 48044)

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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: 9234048166View full group profile
NameSpecialtyState
Physician AssistantMI
Family PracticeMI
Nurse PractitionerMI
-MI
Physician AssistantMI
Orthopedic SurgeryME
Hospitalist, Internal MedicineMI
General SurgeryMI
Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

How do payers reference DR. DOUGLAS GORDON PAULK (D.O.)?
For DR. DOUGLAS GORDON PAULK (D.O.), use NPI 1750372405 as the unique 10-digit identifier.
Is DR. DOUGLAS GORDON PAULK (D.O.) shown as active in public data?
Registry records indicate DR. DOUGLAS GORDON PAULK (D.O.) maintains an active NPI.
How would a patient describe DR. DOUGLAS GORDON PAULK (D.O.)'s focus?
For DR. DOUGLAS GORDON PAULK (D.O.), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. DOUGLAS GORDON PAULK (D.O.) associated with Macomb Township?
Public fields place DR. DOUGLAS GORDON PAULK (D.O.) around Macomb Township, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. DOUGLAS GORDON PAULK (D.O.) is noted as November 2, 2005 where the registry provides it.

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