DR. JORDAN QUILICO (D.O.) – Internal Medicine Physician, NPI 1942597547
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $106 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160415002127 | I | Internal Medicine | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 27 | 15 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 24 | 17 | $0 |
| 99291 | Critical care, first 30-74 minutes | 23 | 12 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 20 | 18 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 48382)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Internal Medicine | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Medical Oncology | IA | |
| Physician Assistant | MI | |
| General Surgery | AZ | |
| - | MI |
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