MARKO R GUDZIAK (M.D.) – Urology Physician, NPI 1871558569

MARKO R GUDZIAK (M.D.) is a healthcare provider. based in St clair shores, Michigan. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 4301063869 (MI). The NPI Number for MARKO R GUDZIAK (M.D.) is 1871558569

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MARKO R GUDZIAK (M.D.)
NPI
1871558569
Phone
(586) 771-4820
Address
20952 E 12 MILE RD
Enumeration Date
18 April 2006
Last Update Date
28 July 2008

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7342617401
Graduation Year
1987 (39 years ago)
PAC ID
2163474313
Group Practice PAC ID
1052223492
Professional Enrollment ID
I20050215001100
Address ID
MI481543075LI33014RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

469 UROLOGY in MI

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Provider Addresses for MARKO R GUDZIAK (M.D.)

  • East 12 Mile Road, Saint Clair Shores, Macomb County, Michigan, 48082, United States

    SUITE 200

    ST CLAIR SHORES, MI 480813200

    Phone: (586) 771-4820

    Fax: (586) 771-6620

    Type: Mailing

  • Lexus Professional Building, 44200, Woodward Avenue, Pontiac, Oakland County, Michigan, 48341, United States

    SUITE 207

    PONTIAC, MI 483412981

    Phone: (248) 322-6103

    Fax: (248) 322-6108

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,695.

Total Amount is formed as General ($1,695) + Research ($0) + Ownership ($0) = $1,695.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Medtronic, Inc. ($193).

Total Amount

$1,695

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,695

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2005-02-15

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
I20050215001100IUrologyMITBD

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
81003Automated urinalysis test1,706884$0
99214Established patient office or other outpatient visit, 30-39 minutes1,555881$0
80048Blood test, basic group of blood chemicals (calcium, total)591434$0
51798Ultrasound measurement of bladder capacity after voiding497323$0
84153Psa (prostate specific antigen) measurement, total463348$0
View full utilization report →

Insurance plans in this area (ZIP 48081)

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Provider's Procedures

MARKO R GUDZIAK (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYMI76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1111

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: 1052223492View full group profile
NameSpecialtyState
U R O L O G YMI
U R O L O G YMI
U R O L O G YOK
Radiation OncologyFL
Nurse PractitionerMI
U R O L O G YMI
U R O L O G YMI
U R O L O G YMI
Physical Therapist In Private PracticeMI
U R O L O G YMI

Reviews

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Frequently asked questions

What is MARKO R GUDZIAK (M.D.)'s NPI number?
MARKO R GUDZIAK (M.D.)'s NPI is 1871558569 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MARKO R GUDZIAK (M.D.)?
You should see MARKO R GUDZIAK (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe MARKO R GUDZIAK (M.D.)'s focus?
For MARKO R GUDZIAK (M.D.), the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Is MARKO R GUDZIAK (M.D.) located near St Clair Shores?
MARKO R GUDZIAK (M.D.) currently maps to St Clair Shores, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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