TODD EDWARD DECKER (MD) – Family Medicine Physician, NPI 1871600676

TODD EDWARD DECKER (MD) is a healthcare provider. based in Petoskey, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301079910 (MI). The NPI Number for TODD EDWARD DECKER (MD) is 1871600676

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
TODD EDWARD DECKER (MD)
NPI
1871600676
Phone
(231) 439-5100
Address
2325 SUMMIT PARK DR
Enumeration Date
25 August 2006
Last Update Date
8 March 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2314395100
Graduation Year
1999 (27 years ago)
PAC ID
3779598933
Group Practice PAC ID
6608881867
Professional Enrollment ID
I20060210000056
Address ID
MI497708774PE2325XDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for TODD EDWARD DECKER (MD)

  • 2325 SUMMIT PARK DR

    SUITE 3

    PETOSKEY, MI 497708774

    Phone: (231) 439-5100

    Fax: (231) 439-9292

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Amgen Inc. ($270).

Total Amount

$589

General + Research + Ownership

Payments

33

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2006-02-10

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
I20060210000056IFamily PracticeMITBD

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 minutes457214$0
36415Insertion of needle into vein for collection of blood sample404224$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit171171$0
99497Advance care planning, first 30 minutes169168$0
G0444Annual depression screening, 5 to 15 minutes145145$0
View full utilization report →

Insurance plans in this area (ZIP 49770)

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Provider's Procedures

TODD EDWARD DECKER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI83036Hemoglobin A1C level10666
FAMILY MEDICINEMI90670Pneumococcal vaccine for injection into muscle3939

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: 6608881867View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Family Practice, Sports MedicineMI

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up TODD EDWARD DECKER (MD) by NPI?
Use NPI 1871600676 when you need to reference TODD EDWARD DECKER (MD) in forms, claims, or directories.
Is TODD EDWARD DECKER (MD) active in the national directory?
TODD EDWARD DECKER (MD)'s public NPI profile is in an active state.
Does TODD EDWARD DECKER (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for TODD EDWARD DECKER (MD). Clinical services aligned with this taxonomy classification.
Does TODD EDWARD DECKER (MD) practice in Michigan?
You will see Petoskey, Michigan on file for TODD EDWARD DECKER (MD) alongside any extra practice locations.
Is TODD EDWARD DECKER (MD) a real provider?
This page reflects official NPPES data for NPI 1871600676. Always confirm identity and privileges with the practice and licensing boards.

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