GORAN CRNOMARKOVIC – Physician Assistant, NPI 1851868228
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for GORAN CRNOMARKOVIC
Stoneacre Drive, Macomb Township, Macomb County, Michigan, 48044, United States
MACOMB, MI 480441880
Phone: (586) 876-0009
Type: Mailing
17197 N LAUREL PARK DR STE 107
LIVONIA, MI 481527910
Phone: (734) 338-8300
Type: Location
17197 N Laurel Park Dr Ste 107
Livonia, MI 481527910
Phone: (734) 338-8300
Type: Location
30795 23 MILE RD
CHESTERFIELD, MI 480475720
Phone: (586) 277-0502
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: PFIZER INC. ($58).
Total Amount
$58
General + Research + Ownership
Payments
3
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $58 |
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: 2018-11-07
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 |
|---|---|---|---|---|
| I20181107002298 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Diagnostic Radiology | MI | |
| Family Practice | MI | |
| Nurse Practitioner | ONTARIO | |
| Emergency Medicine | MI | |
| Family Practice | MI | |
| Physician Assistant | MI | |
| Diagnostic Radiology | MI |
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