ANDREA HARTFORD DO
NPI 1063864569
Obstetrics & Gynecology in Lake Orion, MI

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
1428 S LAPEER RD, LAKE ORION, MI 48360(248) 845-4237(248) 693-3683 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Sep 21, 2022 (2 updates tracked since 2022).

About Andrea Hartford Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA HARTFORD DO (NPI 1063864569) is an individual obstetrics & gynecology provider in Lake Orion, Michigan, licensed in Michigan (5101027793) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Mclaren Oakland, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1063864569
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANDREA HARTFORDCredential: DO
Location Address1428 S LAPEER RDLake Orion, MI 48360-1437
Mailing Address6002 Westgate Blvd Ste 230Tacoma, WA 98406-2572 · (253) 761-2244 · Fax (253) 761-1040
Fax(248) 693-3683
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2018
Enumeration DateJuly 7, 2016
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1063864569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in MI · 5101027793 Licensed in WA · OP61292581
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1428 S LAPEER RD, Lake Orion, MI 48360

Secondary Practice Location 1

Location 16002 Westgate Blvd Ste 230Tacoma, WA 98406-2572 · Phone (253) 761-2244 · Fax (253) 761-1040

Other Identifiers 1

Medicaid2211802WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Hartford Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850786450
PECOS Enrollment IDI20240203000031
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services17 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services11 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Advanced Practice Midwife
1428 S LAPEER RD
LAKE ORION, MI 48360
Nurse Practitioner (Family)
1428 S LAPEER RD
LAKE ORION, MI 48360
Nurse Practitioner (Primary Care)
1428 S LAPEER RD
LAKE ORION, MI 48360
Advanced Practice Midwife
1428 S LAPEER RD
LAKE ORION, MI 48360
Nurse Practitioner (Family)
1428 S LAPEER RD
LAKE ORION, MI 48360
Obstetrics & Gynecology
1428 S LAPEER RD
LAKE ORION, MI 48360
Registered Nurse (Women's Health Care, Ambulatory)
1428 S LAPEER RD
LAKE ORION, MI 48360
Advanced Practice Midwife
1428 S LAPEER RD
LAKE ORION, MI 48360

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Hartford's NPI number?

The NPI number for Andrea Hartford is 1063864569. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Andrea Hartford located?

Andrea Hartford practices at 1428 S Lapeer Rd, Lake Orion, MI 48360. The listed phone number is (248) 845-4237.

What is Andrea Hartford's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrea Hartford enrolled in Medicare?

Yes. Andrea Hartford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Hartford accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Andrea Hartford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Hartford affiliated with any hospitals?

According to CMS data, Andrea Hartford is affiliated with Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Andrea Hartford was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.