DR. JORDAN QUILICO (D.O.) – Internal Medicine Physician, NPI 1942597547

DR. JORDAN QUILICO (D.O.) is a healthcare provider. based in Commerce township, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101019048 (MI). The NPI Number for DR. JORDAN QUILICO (D.O.) is 1942597547

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORDAN QUILICO (D.O.)
NPI
1942597547
Phone
(810) 955-1856
Address
1 WILLIAM CARLS DR
Enumeration Date
1 July 2011
Last Update Date
6 April 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9893624626
Graduation Year
2010 (16 years ago)
PAC ID
2264730738
Group Practice PAC ID
9638070766
Professional Enrollment ID
I20160415002127
Address ID
MI487638211TA325XXMXXX324

Contacts

Secure Messaging
jordanquilico@smomsjhs.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

Provider Addresses for DR. JORDAN QUILICO (D.O.)

  • 1 WILLIAM CARLS DR

    COMMERCE TOWNSHIP, MI 483822201

    Phone: (810) 955-1856

    Type: Mailing

  • 295 MAPLE ST STE 202

    TAWAS CITY, MI 487639352

    Phone: (989) 362-6108

    Fax: (989) 362-0161

    Type: Location

  • PO BOX 779

    TAWAS CITY, MI 487640779

    Phone: (989) 362-6108

    Fax: (989) 362-0161

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2023-01-25 • Largest payer in this snapshot: Boston Scientific Corporation ($106).

Total Amount

$106

General + Research + Ownership

Payments

1

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-25

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: 2016-04-15

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
I20160415002127IInternal MedicineMITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2715$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2417$0
99291Critical care, first 30-74 minutes2312$0
99239Hospital discharge day management, more than 30 minutes2018$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 48382)

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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: 9638070766View full group profile
NameSpecialtyState
-MI
O T O L A R Y N G O L O G YMI
Internal MedicineMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Medical OncologyIA
Physician AssistantMI
General SurgeryAZ
-MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JORDAN QUILICO (D.O.)?
DR. JORDAN QUILICO (D.O.) — NPI 1942597547 — is the standard way to identify this listing.
Does CMS list DR. JORDAN QUILICO (D.O.) as active?
Yes — DR. JORDAN QUILICO (D.O.) is active in the NPI listing used on this page.
What is DR. JORDAN QUILICO (D.O.)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. JORDAN QUILICO (D.O.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JORDAN QUILICO (D.O.)?
DR. JORDAN QUILICO (D.O.)'s geographic hint is Commerce Township, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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