MICHIGAN ORTHOPAEDIC SURGEONS, PLLC – Orthopaedic Surgery Physician, NPI 1306394309
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHIGAN ORTHOPAEDIC SURGEONS, PLLC
26750 Providence Pkwy Ste 220
Novi, MI 483741212
Phone: (248) 596-0412
Fax: (833) 471-5849
Type: Location
4967 Crooks Rd Ste 100
Troy, MI 480985812
Phone: (248) 846-8060
Fax: (833) 303-1612
Type: Location
45816 Schoenherr Rd
Shelby Twp, MI 483156028
Phone: (586) 842-2400
Fax: (833) 561-1976
Type: Location
Lahser Road, Southfield, Oakland County, Michigan, 48025, United States
SOUTHFIELD, MI 480332606
Phone: (248) 663-1900
Fax: (248) 663-1901
Type: Location
24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 480254345
Phone: (248) 988-8085
Type: Location
1350 Kirts Blvd Ste 160
Troy, MI 480844852
Phone: (248) 244-9426
Type: Location
17877 W 14 Mile Rd
Beverly Hills, MI 480253127
Phone: (248) 644-3920
Type: Location
33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 483223586
Phone: (248) 663-1900
Fax: (248) 663-1901
Type: Location
30575 Woodward Ave
Royal Oak, MI 480730980
Phone: (248) 280-8550
Type: Location
201, Central Park Boulevard, Southfield, Oakland County, Michigan, 48076, United States
SOUTHFIELD, MI 480764158
Phone: (248) 714-1635
Fax: (248) 327-6144
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: 2025-10-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20161208002428 | O | Clinic/Group Practice | MI | TBD |
| O20251006001555 | O | Multi-Specialty - Physician | 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 48374)
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