MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC – Orthopaedic Surgery Physician, NPI 1972868321
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHIGAN ORTHOPAEDIC SPINE SURGEONS PC
22401 Foster Winter Dr
Southfield, MI 480753724
Phone: (248) 215-8080
Type: Location
29624 Woodward Ave
Royal Oak, MI 480730905
Phone: (248) 215-8080
Type: Location
4550 Investment Dr Ste 220
Troy, MI 480986334
Phone: (248) 215-8080
Type: Location
1375 N Main St
Lapeer, MI 484461350
Phone: (248) 215-8080
Type: Location
1349 S Rochester Rd Ste 250
Rochester Hills, MI 483073186
Phone: (248) 215-8080
Type: Location
1555 SOUTH BLVD E
SUITE 310
ROCHESTER HILLS, MI 483075605
Phone: (248) 215-8080
Fax: (248) 289-1086
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: 2013-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (987 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20121015000068 | O | Clinic/Group Practice | MI | TBD |
| O20131022001009 | O | Physician - Orthopedic/Orthopedic Surgery | MI | 2023-09-30 |
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 48075)
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