Center for Advanced Orthopedics and Sports Medicine – Orthopaedic Surgery Physician, NPI 1295816460
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Center for Advanced Orthopedics and Sports Medicine
3100 Cross Creek Pkwy Ste 160
Auburn Hills, MI 483262775
Phone: (248) 377-8000
Type: Location
3100 Cross Creek Pkwy Ste 110
Auburn Hills, MI 483262775
Phone: (248) 377-8000
Type: Location
Cross Creek Parkway, Auburn Hills, Oakland County, Michigan, 48309-4479, United States
SUITE 200
AUBURN HILLS, MI 483262774
Phone: (248) 377-8000
Fax: (248) 377-2929
Type: Location
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1048 days ago).
Enrollment records
2
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| O20050628000975 | O | Clinic/Group Practice | MI | 2023-07-31 |
| O20100930047037 | O | Physician - Orthopedic/Orthopedic Surgery | MI | 2026-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 48326)
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