PAUL BLAKELY SCADDAN (M.D.) – Family Medicine Physician, NPI 1912944737
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for PAUL BLAKELY SCADDAN (M.D.)
57 S Center St
Sebewaing, MI 487591414
Phone: (989) 883-9656
Fax: (989) 883-9537
Type: Location
168, North Caseville Road, Pigeon, Winsor Township, Huron County, Michigan, 48755, United States
PIGEON, MI 487559704
Phone: (989) 453-5210
Type: Mailing
57, South Center Street, Village of Sebewaing, Sebewaing Township, Huron County, Michigan, 48759, United States
SEBEWAING, MI 487591414
Phone: (989) 883-9656
Fax: (989) 883-9537
Type: Location
616 UNIONVILLE RD
SEBEWAING, MI 487591631
Phone: (989) 883-9088
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $703.
Total Amount is formed as General ($703) + Research ($0) + Ownership ($0) = $703.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($195).
Total Amount
$703
General + Research + Ownership
Payments
39
Total payment records
General Amount
$703
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $195 |
| Otsuka America Pharmaceutical, Inc. | $131 |
| ABBVIE INC. | $108 |
| Lilly USA, LLC | $63 |
| PFIZER INC. | $41 |
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: 2011-04-25
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 |
|---|---|---|---|---|
| I20110425000126 | I | Family Practice | 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 48759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Family Practice, Geriatric Medicine | MI | |
| Emergency Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Emergency Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| General Surgery | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Nurse Practitioner | MI |
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