DR. SAMUEL THADDEUS AUSTIN (DPM) – Podiatrist, NPI 1891222964

DR. SAMUEL THADDEUS AUSTIN (DPM) is a healthcare provider. based in Rochester hills, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901400369 (MI). The NPI Number for DR. SAMUEL THADDEUS AUSTIN (DPM) is 1891222964

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL THADDEUS AUSTIN (DPM)
NPI
1891222964
Phone
(248) 717-0000
Address
555 Barclay Cir Ste 100
Enumeration Date
18 May 2017
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9174981769
Graduation Year
2017 (9 years ago)
PAC ID
9638592132
Group Practice PAC ID
8123473477
Professional Enrollment ID
I20200630002346
Address ID
MI481242000DE22720AVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for DR. SAMUEL THADDEUS AUSTIN (DPM)

  • 555 Barclay Cir Ste 100

    Rochester Hills, MI 483074574

    Phone: (248) 717-0000

    Fax: (248) 617-0006

    Type: Location

  • Telegraph Road, Bingham Farms, Southfield Township, Oakland County, Michigan, 48301, United States

    BINGHAM FARMS, MI 480254315

    Phone: (248) 646-6882

    Fax: (248) 646-7677

    Type: Mailing

  • 22720 MICHIGAN AVE STE 175

    DEARBORN, MI 481242000

    Phone: (248) 717-0000

    Fax: (248) 617-0006

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $2,443.

Total Amount is formed as General ($2,443) + Research ($0) + Ownership ($0) = $2,443.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Paragon 28, Inc. ($1,335).

Total Amount

$2,443

General + Research + Ownership

Payments

24

Total payment records

General Amount

$2,443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2020-06-30

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
I20200630002346IPodiatryMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13987$0
11721Removal of fingernails or toenails, 6 or more nails11654$0
20600Aspiration and/or injection of fluid from small joint6418$0
73630X-ray of foot, minimum of 3 views5843$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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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: 8123473477View full group profile
NameSpecialtyState
Podiatry, Preventive MedicineMI
P O D I A T R YMI

Reviews

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Frequently asked questions

Can I cross-check DR. SAMUEL THADDEUS AUSTIN (DPM) using NPI 1891222964?
NPI 1891222964 belongs to DR. SAMUEL THADDEUS AUSTIN (DPM); compare other details if you need extra assurance.
Is DR. SAMUEL THADDEUS AUSTIN (DPM) still an active registrant?
DR. SAMUEL THADDEUS AUSTIN (DPM) carries an active NPI according to the public dataset.
What area of care is associated with DR. SAMUEL THADDEUS AUSTIN (DPM)?
DR. SAMUEL THADDEUS AUSTIN (DPM)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. SAMUEL THADDEUS AUSTIN (DPM) located near Rochester Hills?
DR. SAMUEL THADDEUS AUSTIN (DPM) currently maps to Rochester Hills, Michigan in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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