DR. MICHAEL S FOZO MD
NPI 1114019627
Otolaryngology - Plastic Surgery within the Head & Neck in Saint Clair Shores, MI

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
83.35/100
CMS Quality Rating
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael S Fozo Md NPPES

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

DR. MICHAEL S FOZO MD (NPI 1114019627) is an individual plastic surgery within the head & neck provider in Saint Clair Shores, Michigan, licensed in Michigan (MF075562) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of New York Medical College (1997).

NPPES Registry Identity

NPI1114019627
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. MICHAEL S FOZOCredential: MD
Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081-1116
Mailing Address21000 E 12 Mile Rd, Ste 111St Clair Shores, MI 48081 · (586) 779-7610 · Fax (586) 445-2523
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1997
Enumeration DateSeptember 29, 2006
Last NPPES UpdateOctober 5, 2007
NPI 1114019627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License Licensed in MI · MF075562
Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

21000 E 12 MILE RD, Saint Clair Shores, MI 48081

Other Identifiers 11

Other0501379Blue Care Network
Medicaid4505853MI
OtherH68407Health Alliance Plan
Other4339229Aetna
Other136815Care Choices
Other6029816Cigna
Medicare UPINH68407MI
Other16056Mcar
Other141736Great Lakes Health Plan
OtherP00014677Railroad Medicare
Medicare ID-Type Unspecified0N53990MI

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

Dr. Michael S Fozo Md 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 ID4789871971
PECOS Enrollment IDI20101214000912
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
92 services74 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
62 services62 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
49 services44 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
48 services40 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
Exam of the nose and throat using an endoscope 92511
An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.
38 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Provide Patients Electronic Access to Their Health Information 72% 155

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.

Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081
Pharmacist
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Pharmacist
21000 E 12 MILE RD, SUITE 124
SAINT CLAIR SHORES, MI 48081
Pharmacist
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114019627, enumerated as an "individual" on September 29, 2006.

The provider is located at 21000 E 12 MILE RD SUITE 111 SAINT CLAIR SHORES, MI 48081 and the phone number is (586) 779-7610.

Otolaryngology with taxonomy code 207YX0007X and a focus in Plastic Surgery within the Head & Neck.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Michael Fozo is affiliated with: HENRY FORD MACOMB HOSPITAL and ASCENSION ST JOHN HOSPITAL.