PETER M NEFCY M.D., PHD
NPI 1164414165
Radiology - Nuclear Radiology in Warren, MI

Q: What is Peter Nefcy's NPI number?

The NPI number for Peter Nefcy is 1164414165. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Peter Nefcy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Q: When was this NPI record last updated?

The NPPES record for Peter Nefcy was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment

11012 E 13 MILE RD, SUITE 111, WARREN, MI 48093(586) 558-8470(586) 558-8481 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Peter M Nefcy M.d., Phd NPPES

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

PETER M NEFCY M.D., PHD (NPI 1164414165) is an individual nuclear radiology provider in Warren, Michigan, licensed in Michigan (4301046061) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1164414165

Entity TypeIndividualMale

Primary Taxonomy2085N0904X

Provider Legal NamePETER M NEFCYCredential: M.D., PHD

Location Address11012 E 13 MILE RD, SUITE 111Warren, MI 48093-2572

Mailing Address29900 Lorraine Ave, Suite 400Warren, MI 48093-5266 · (586) 582-0864 · Fax (586) 582-0964

Phone(586) 558-8470

Fax(586) 558-8481

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateAugust 17, 2005

Last NPPES UpdateApril 18, 2013

✔ NPI 1164414165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0904X

License✔ Licensed in MI · 4301046061

Definition

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

11012 E 13 MILE RD, Warren, MI 48093

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Other Identifiers 8

Medicaid4484388MI

Other700F340300MI · Bcbs

Other700E021830MI · Bcbs

Other700E021910MI · Bcbs

Medicare OSCAR/certification0E06376014MI

Medicare UPINE03780

Medicare PIN0P30420MI

Medicaid4390361MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter M Nefcy M.d., Phd 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 ID5597753442

PECOS Enrollment IDI20040501000027, I20260504008119

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.

Medicare Billing Reassignments

Medicare enrollment records show Peter Nefcy reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan Neurology Associates PC

6.7 mi

Neurology

19699 E EIGHT MILE RD
St Clair Shores, MI 48080

Reassigned Medicare billing, Michigan enrollment
30 clinicians in this Medicare group

NPI 1861498362 (586) 445-9900

Basha Diagnostics P C

8.5 mi

Diagnostic Radiology

30701 WOODWARD AVE
Royal Oak, MI 48073

Reassigned Medicare billing, Michigan enrollment
73 clinicians in this Medicare group

NPI 1770693798 (248) 288-1600

Vhs Physicians Of Michigan

14 mi

Internal Medicine

29201 TELEGRAPH RD STE 404N
Southfield, MI 48034

Reassigned Medicare billing, Michigan enrollment
407 clinicians in this Medicare group

NPI 1073827101 (248) 450-3507

Lucidsolutions, Inc.

172 mi

Diagnostic Radiology

3535 OLENTANGY RIVER RD
Columbus, OH 43214

Reassigned Medicare billing, Michigan enrollment
11 clinicians in this Medicare group

NPI 1518594480 (614) 566-5000

Riverside Radiology And Interventional Associates Inc

172 mi

Diagnostic Radiology

3525 OLENTANGY RIVER RD, STE 5360
Columbus, OH 43214

Reassigned Medicare billing, Michigan enrollment
17 clinicians in this Medicare group

NPI 1093718496 (614) 340-7747

Trinity Health Of New England Provider Network Organization Inc

532 mi

Internal Medicine

114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105

Reassigned Medicare billing, Connecticut enrollment
1,186 clinicians in this Medicare group

NPI 1003882812 (860) 714-1325

Radadvantage A Professional Corporation

1,684 mi

Diagnostic Radiology

3805 E BELL RD, STE 5500
Phoenix, AZ 85032

Reassigned Medicare billing, Michigan enrollment
84 clinicians in this Medicare group

NPI 1376719666 (866) 891-1336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 30

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.

Injection, gadoterate meglumine, 0.1 ml A9575

Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.

11,220 services68 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

1,212 services1,170 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

612 services595 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

102 services101 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

89 services89 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

89 services81 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

62 services62 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

61 services59 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

57 services56 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

56 services54 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

45 services45 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

43 services41 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

39 services39 patients

Limited ultrasound scan behind abdominal cavity 76775

A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.

36 services36 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

33 services31 patients

X-ray of chest, 2 views 71046

32 services32 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

27 services26 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

27 services27 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

26 services23 patients

Mri scan of upper spinal canal before and after contrast 72156

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

24 services22 patients

Limited ultrasound scan of pelvis 76857

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

23 services23 patients

Nuclear medicine study of bone and/or joint whole body 78306

A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.

23 services22 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

19 services17 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

19 services18 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

19 services19 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

15 services15 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

12 services12 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

12 services12 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

11 services11 patients

X-ray of forearm, 2 views 73090

An X-ray of the forearm, 2 views, is a diagnostic procedure where two different pictures of your forearm are taken using a small amount of radiation. These images help doctors assess your bone health and identify any fractures, infections, or other abnormalities.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360040

Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County

Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360095

Location1900 South Main StreetFindlay, OH 45840 · Hancock County

Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360365

Location715 Richland MallOntario, OH 44906 · Richland County

Emergency services Birthing friendly

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.

DANIELLE RODZIK

Occupational Therapist

11012 E 13 MILE RD
WARREN, MI 48093

Macomb County (586) 573-8890

MR. CURTIS JOHN BEST

Physical Therapist

11012 E 13 MILE RD, STE 200
WARREN, MI 48093

Macomb County (586) 573-8890

RONALD T ROOK D.O.

Orthopaedic Surgery (Sports Medicine)

11012 E 13 MILE RD, SUITE 201
WARREN, MI 48093

Macomb County (586) 582-0760

ELIZABETH COGSWELL CO

Orthotist

11012 E 13 MILE RD, STE 210
WARREN, MI 48093

Macomb County (586) 573-8890

MRS. LORI ANN SWEENEY O.T.R.

Occupational Therapist

11012 E 13 MILE RD
WARREN, MI 48093

Macomb County (586) 573-8890

MARK A OLSON M.D.

Psychiatry & Neurology (Neurology)

11012 E 13 MILE RD, SUITE 112
WARREN, MI 48093

Macomb County (586) 573-6880

DR. ZENA G YOUSIF MD

Surgery

11012 E 13 MILE RD, SUITE 112
WARREN, MI 48093

Macomb County (586) 573-6880

HENRY FORD SEMI MEDICAL GROUP

Obstetrics & Gynecology

11012 E 13 MILE RD, SUITE 212
WARREN, MI 48093

Macomb County (586) 582-7150

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 Peter Nefcy's NPI number?

The NPI number for Peter Nefcy is 1164414165. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Peter Nefcy located?

Peter Nefcy practices at 11012 E 13 Mile Rd Suite 111, Warren, MI 48093. The listed phone number is (586) 558-8470.

What is Peter Nefcy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Is Peter Nefcy enrolled in Medicare?

Yes. Peter Nefcy 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.

Which organizations bill Medicare for Peter Nefcy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Nefcy reassigns Medicare benefits to 7 organizations: Michigan Neurology Associates PC (St Clair Shores, MI), Basha Diagnostics P C (Royal Oak, MI), Vhs Physicians Of Michigan (Southfield, MI), Lucidsolutions, Inc. (Columbus, OH), Riverside Radiology And Interventional Associates Inc (Columbus, OH) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Nefcy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Nefcy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Peter Nefcy 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 Peter Nefcy affiliated with any hospitals?

According to CMS data, Peter Nefcy is affiliated with Knox Community Hospital, Blanchard Valley Hospital, Marietta Memorial Hospital and Avita Ontario.

When was this NPI record last updated?

The NPPES record for Peter Nefcy was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.