STEPHEN D MENDELSON (MD) – Orthopaedic Surgery Physician, NPI 1790775427

STEPHEN D MENDELSON (MD) is a healthcare provider. based in Warren, Michigan. specializing in SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 4301072970 (MI). The NPI Number for STEPHEN D MENDELSON (MD) is 1790775427

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN D MENDELSON (MD)
NPI
1790775427
Phone
(586) 582-7070
Address
11900 E 12 MILE RD
Enumeration Date
25 October 2005
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1998 (28 years ago)
PAC ID
0749266104
Group Practice PAC ID
8426008368
Professional Enrollment ID
I20040625001089
Address ID
MI483104728ST35735RDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

244 SPORTS MEDICINE in MI

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Provider Addresses for STEPHEN D MENDELSON (MD)

  • East 12 Mile Road, Warren, Macomb County, Michigan, 48092, United States

    SUITE 110

    WARREN, MI 480933400

    Phone: (586) 582-7070

    Fax: (586) 582-7066

    Type: Mailing

  • 35735 MOUND RD STE 100

    STERLING HEIGHTS, MI 483104728

    Phone: (586) 261-1960

    Type: Mailing

  • 36622 Five Mile Rd Ste 101

    Livonia, MI 481541900

    Phone: (734) 542-0200

    Type: Location

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 $45,978.

Total Amount is formed as General ($9,042) + Research ($36,936) + Ownership ($0) = $45,978.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Bioventus LLC ($42,336).

Total Amount

$45,978

General + Research + Ownership

Payments

19

Total payment records

General Amount

$9,042

General payments

Research Amount

$36,936

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2004-06-25

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
I20040625001089ISports MedicineMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes430274$0
73562X-ray of knee, 3 views251183$0
73030X-ray of shoulder, minimum of 2 views14590$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance143118$0
99213Established patient office or other outpatient visit, 20-29 minutes117100$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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Provider's Procedures

STEPHEN D MENDELSON (MD) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SPORTS MEDICINEMI27447Repair of knee joint1111
SPORTS MEDICINEMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes2212

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: 8426008368View full group profile
NameSpecialtyState
-MI
Physician AssistantMI
Physician AssistantMI
Physical Therapist In Private PracticeMI
-MI
-MI
Physical Therapist In Private PracticeMI
Physician AssistantMI
Family Practice, Geriatric MedicineMI
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

What unique ID ties claims to STEPHEN D MENDELSON (MD)?
NPI 1790775427 is assigned to STEPHEN D MENDELSON (MD) under the national enumeration system.
Is STEPHEN D MENDELSON (MD)'s NPI currently valid?
The extract we use shows STEPHEN D MENDELSON (MD) as active.
Does STEPHEN D MENDELSON (MD) list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for STEPHEN D MENDELSON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHEN D MENDELSON (MD)?
The page summarizes Warren, Michigan for STEPHEN D MENDELSON (MD); expand the address list for detail.
What if Warren, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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