TAMARA J MOUTSATSON (DO) – Internal Medicine Physician, NPI 1821031519

TAMARA J MOUTSATSON (DO) is a healthcare provider. based in Mt pleasant, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 5101014853 (MI). The NPI Number for TAMARA J MOUTSATSON (DO) is 1821031519

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA J MOUTSATSON (DO)
NPI
1821031519
Phone
(989) 779-5222
Address
2853 HEALTH PKWY STE A
Enumeration Date
13 June 2006
Last Update Date
19 March 2019

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9897795222
Graduation Year
2001 (25 years ago)
PAC ID
7113982521
Group Practice PAC ID
6103733092
Professional Enrollment ID
I20041124000793
Address ID
MI488589375MT2853XPKWY301
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

7,218 INTERNAL MEDICINE in MI

Provider Addresses for TAMARA J MOUTSATSON (DO)

  • 2853 HEALTH PKWY STE A

    MT PLEASANT, MI 488589375

    Phone: (989) 779-5222

    Fax: (989) 953-5153

    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 $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($134).

Total Amount

$134

General + Research + Ownership

Payments

2

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

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: 2004-11-24

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
I20041124000793IInternal 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48858)

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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: 6103733092View full group profile
NameSpecialtyState
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
U R O L O G YTN
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Internal MedicineMI
Family PracticeMI
Infectious Disease, Internal MedicineMI

Reviews

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Frequently asked questions

What is the standard ID for TAMARA J MOUTSATSON (DO) in the U.S.?
In the U.S., TAMARA J MOUTSATSON (DO) is identified by NPI 1821031519.
Should I treat TAMARA J MOUTSATSON (DO) as an active provider?
Patients and plans typically see TAMARA J MOUTSATSON (DO) as active in the national extract.
What type of care does TAMARA J MOUTSATSON (DO) provide?
TAMARA J MOUTSATSON (DO)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to TAMARA J MOUTSATSON (DO)?
The directory associates TAMARA J MOUTSATSON (DO) with Mt Pleasant, Michigan. Check all listed addresses for suites or satellite offices.
Can I export TAMARA J MOUTSATSON (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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