DR. MICHAEL BRAD CEARLOCK (M.D.) – Emergency Medicine Physician, NPI 1053577908

DR. MICHAEL BRAD CEARLOCK (M.D.) is a healthcare provider. based in Stevens point, Wisconsin. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 84612 (WI). The NPI Number for DR. MICHAEL BRAD CEARLOCK (M.D.) is 1053577908

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL BRAD CEARLOCK (M.D.)
NPI
1053577908
Phone
(715) 343-7730
Address
4100 State Highway 66
Enumeration Date
30 July 2008
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7157516200
Graduation Year
2004 (22 years ago)
PAC ID
7517140304
Group Practice PAC ID
5698071173
Professional Enrollment ID
I20240723001152
Address ID
WI544941914WI440XXSXXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for DR. MICHAEL BRAD CEARLOCK (M.D.)

  • 4100 State Highway 66

    Stevens Point, WI 544828410

    Phone: (715) 343-7730

    Type: Location

  • 301, Main Street, Hoxie, Sheridan County, Kansas, 67740, United States

    SHERIDAN, MI 488849235

    Phone: (989) 291-3261

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110401000205IEmergency MedicineMITBD
I20240723001152IEmergency MedicineWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54482)

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Provider's Procedures

DR. MICHAEL BRAD CEARLOCK (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMI81002Urinalysis, manual test1515

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: 5698071173View full group profile
NameSpecialtyState
-WI
N E U R O L O G YNY
Nurse PractitionerWI
Interventional Radiology, Diagnostic RadiologyWI
-WI
P S Y C H I A T R YIL
-MI
Internal MedicineWI
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Is DR. MICHAEL BRAD CEARLOCK (M.D.) listed with a National Provider Identifier?
Yes — DR. MICHAEL BRAD CEARLOCK (M.D.) has NPI 1053577908 on file in the registry.
Is DR. MICHAEL BRAD CEARLOCK (M.D.) shown as active in public data?
Registry records indicate DR. MICHAEL BRAD CEARLOCK (M.D.) maintains an active NPI.
What area of care is associated with DR. MICHAEL BRAD CEARLOCK (M.D.)?
DR. MICHAEL BRAD CEARLOCK (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MICHAEL BRAD CEARLOCK (M.D.)?
Directory geography for DR. MICHAEL BRAD CEARLOCK (M.D.) centers on Stevens Point, Wisconsin.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.