PENNY WILTON (MD) – Critical Care Medicine (Anesthesiology) Physician, NPI 1881987006
Critical Care Medicine (Anesthesiology) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
681 CRITICAL CARE (INTENSIVISTS) in MI
Provider Addresses for PENNY WILTON (MD)
100 Michigan St NE
Suite 8861
Grand Rapids, MI 495032560
Phone: (616) 391-0800
Fax: (616) 391-0801
Type: Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone:
Type: Mailing
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone: (248) 898-2800
Fax: (248) 898-2898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,333.
Total Amount is formed as General ($1,333) + Research ($0) + Ownership ($0) = $1,333.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Medtronic, Inc. ($1,333).
Total Amount
$1,333
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,333 |
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: 2011-09-02
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 |
|---|---|---|---|---|
| I20110902000115 | I | Critical Care (Intensivists) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| General Surgery, Critical Care (Intensivists) | MI | |
| Pediatric Medicine | MI | |
| - | MI | |
| - | MI | |
| Hand Surgery | MN | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| - | MI |
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