HISTOLOGY ASSOCIATES INC – Anatomic Pathology Physician, NPI 1649273459
Anatomic Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for HISTOLOGY ASSOCIATES INC
10935 COUNTY ROAD 159
TYLER, TX 757033333
Phone: (903) 805-9955
Fax: (903) 839-2494
Type: Mailing
Greater Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48080, United States
STE E
ST CLAIR SHORES, MI 480802351
Phone: (586) 774-4290
Fax: (586) 774-4220
Type: Mailing
22108 HARPER AVE
SAINT CLAIR SHORES, MI 480801830
Phone: (586) 774-4290
Fax: (586) 774-4220
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: 2004-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (950 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20041104000242 | O | Independent Clinical Laboratory | MI | 2023-10-31 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 126 | 115 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 124 | 113 | $0 |
Insurance plans in this area (ZIP 75703)
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