HILARY A METCALF (MD) – Family Medicine Physician, NPI 1851452403
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for HILARY A METCALF (MD)
901 LAKESHOR DR
ISHPEMING, MI 49849
Phone: (906) 485-2687
Fax: (906) 485-2753
Type: Mailing
Teal Lake Medical Center, 100, Malton Road, Negaunee, Marquette County, Michigan, 49866, United States
STE 6
NEGAUNEE, MI 49866
Phone: (906) 475-4127
Fax: (906) 485-2753
Type: Mailing
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 $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($20).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $20 |
| Merck Sharp & Dohme LLC | $18 |
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: 2011-01-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110103000983 | I | Family Practice | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 249 | 118 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 97 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 104 | 19 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 76 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 60 | 60 | $0 |
Insurance plans in this area (ZIP 49849)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 90670 | Pneumococcal vaccine for injection into muscle | 43 | 43 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | WY | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Nurse Practitioner | SC |
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