DAVID MACON (DO) – Family Medicine Physician, NPI 1760988679

DAVID MACON (DO) is a healthcare provider. based in Clinton township, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5101026137 (MI). The NPI Number for DAVID MACON (DO) is 1760988679

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DAVID MACON (DO)
NPI
1760988679
Phone
(586) 263-2950
Address
15855 19 MILE RD
Enumeration Date
2 April 2018
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5868001001
Graduation Year
2018 (8 years ago)
PAC ID
3476953621
Group Practice PAC ID
9436407236
Professional Enrollment ID
I20210610000705
Address ID
MI480802242SA21600AVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DAVID MACON (DO)

  • Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States

    CLINTON TOWNSHIP, MI 480383504

    Phone: (586) 263-2950

    Type: Mailing

  • 6900 E 10 MILE RD

    CENTER LINE, MI 480151168

    Phone: (586) 756-7777

    Type: Location

  • 6800 E 10 MILE RD

    CENTER LINE, MI 480151167

    Phone: (586) 619-9986

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $480.

Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: ABBVIE INC. ($384).

Total Amount

$480

General + Research + Ownership

Payments

19

Total payment records

General Amount

$480

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

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: 2021-06-10

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
I20210610000705IFamily 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
83036Hemoglobin a1c level2015$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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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: 9436407236View full group profile
NameSpecialtyState
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

How do I look up DAVID MACON (DO) by NPI?
Use NPI 1760988679 when you need to reference DAVID MACON (DO) in forms, claims, or directories.
Does this profile mean DAVID MACON (DO) is currently active?
Yes — DAVID MACON (DO) appears active in the national provider directory.
What kind of provider is DAVID MACON (DO)?
The page reflects Family Medicine Physician for DAVID MACON (DO). Clinical services aligned with this taxonomy classification.
Does DAVID MACON (DO) practice in Michigan?
You will see Clinton Township, Michigan on file for DAVID MACON (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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