DEGARA APP, PLLC – Emergency Medicine Physician, NPI 1265976971
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DEGARA APP, PLLC
McLaren Greater Lansing, 401, West Greenlawn Avenue, Greencroft Park, Lansing, Ingham County, Michigan, 48910, United States
LANSING, MI 48910
Phone: (517) 975-6000
Fax: (904) 559-4370
Type: Location
1100 S Van Dyke Rd
Bad Axe, MI 484139615
Phone: (989) 269-2881
Type: Location
1221 South Dr
MT Pleasant, MI 488583257
Phone: (989) 772-6821
Type: Location
401 S Ballenger Hwy
Flint, MI 485323638
Phone: (810) 342-4203
Type: Location
5701 Bow Pointe Dr
Clarkston, MI 483463198
Phone: (248) 338-5210
Type: Location
1900 Columbus Ave
Bay City, MI 487086831
Phone: (989) 894-3993
Type: Location
401 N Hooper St
Caro, MI 487231476
Phone: (615) 928-6268
Type: Location
2110 S M 76
West Branch, MI 486618737
Phone: (989) 516-5075
Type: Location
2420 Owen Rd Ste A
Fenton, MI 484303417
Phone: (810) 496-2500
Type: Location
PO BOX 4458
DEPT # 206
HOUSTON, TX 772104458
Phone: (855) 246-8607
Fax: (629) 216-0568
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: 2017-02-23
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 |
|---|---|---|---|---|
| O20170223001941 | O | Clinic/Group 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 48910)
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